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Genetic Analysis Of One Gene

Michigan 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?

$224

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $224 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 6 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$195$178 to $224
FacilityA hospital or hospital-owned outpatient department$224$224 to $282

How much rates vary

Facilitymedian $224 · 10th to 90th $214 to $417Professionalmedian $195 · 10th to 90th $87 to $282
$100$200$500facility $224professional $195

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
$223.87
Median
$223.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$223.87
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$177.83
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$331.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$676.08
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$363.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$275.42
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$162.18

Where Michigan 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.

Michigan· 26th of 51

$224

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.