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Genetic Analysis Of One Gene

Montana 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?

$347

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $407 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$316$141 to $347
FacilityA hospital or hospital-owned outpatient department$407$355 to $447

How much rates vary

Facilitymedian $407 · 10th to 90th $324 to $550Professionalmedian $316 · 10th to 90th $100 to $427
$100$200$500$1Kfacility $407professional $316

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
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$354.81
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$407.38
Typical High
$478.63
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$407.38
Typical High
$436.52
Providence
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$354.81
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$100.00
Typical High
$239.88

Where Montana 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.

Montana· 4th of 51

$347

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.