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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 October 2026.

How much does Genetic Analysis Of One Gene cost?

$224

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $224 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$178 to $245
FacilityA hospital or hospital-owned outpatient department$224$224 to $282

How much rates vary

Facilitymedian $224 · 10th to 90th $178 to $417Professionalmedian $224 · 10th to 90th $98 to $316
$10$20$50$100$200$500facility $224professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$354.81
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$177.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$234.42
Typical High
$239.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$117.49
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$46.77
Typical High
$47.86
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$177.83
Typical High
$194.98
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$109.65
Typical High
$323.59
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$794.33
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$177.83
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$70.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$269.15
Typical High
$354.81
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Priority Health
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$109.65
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$213.80
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$97.72
Typical High
$162.18

Where Michigan sits

The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 22nd of 51

$224

AK $537OK $141

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.