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Genetic Analysis Of One Gene

North Carolina 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?

$191

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $209 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$191$145 to $219
FacilityA hospital or hospital-owned outpatient department$209$191 to $331

How much rates vary

Facilitymedian $209 · 10th to 90th $151 to $794Professionalmedian $191 · 10th to 90th $107 to $316
$100$200$500$1Kfacility $209professional $191

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
$151.36
Median
$208.93
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$524.81
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$239.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,778.28

Where North Carolina 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.

North Carolina· 42nd of 51

$191

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.