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Genetic Analysis Of One Gene

Massachusetts rates for HCPCS 81300

One gene is examined in the laboratory using DNA taken from a patient sample, and any changes found in it are reported. The result is used to support a diagnosis or to help plan treatment.

Rates data updated July 2026.

How much does Genetic Analysis Of One Gene cost?

$240

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $468 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$151 to $240
FacilityA hospital or hospital-owned outpatient department$468$288 to $603

How much rates vary

Facilitymedian $468 · 10th to 90th $178 to $724Professionalmedian $240 · 10th to 90th $112 to $575
$100$200$500$1K$2Kfacility $468professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$416.87
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$707.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$741.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$616.60
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$407.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$398.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$741.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$489.78

Where Massachusetts sits

The same service costs 3.5 times more in Alaska than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 24th of 51

$240

AK $537RI $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.