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Genetic Analysis Of One Gene

Missouri 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?

$229

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $309 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$204$100 to $295
FacilityA hospital or hospital-owned outpatient department$309$240 to $417

How much rates vary

Facilitymedian $309 · 10th to 90th $214 to $550Professionalmedian $204 · 10th to 90th $95 to $479
$100$200$500$1Kfacility $309professional $204

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
$229.09
Median
$398.11
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$165.96
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$467.74
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$239.88
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$323.59

Where Missouri 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.

Missouri· 25th of 51

$229

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.