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Genetic Analysis Of One Gene

Nebraska 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?

$355

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $490 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$158$158 to $575
FacilityA hospital or hospital-owned outpatient department$490$288 to $977

How much rates vary

Facilitymedian $490 · 10th to 90th $158 to $1,413Professionalmedian $158 · 10th to 90th $141 to $1,585
$100$200$500$1Kfacility $490professional $158

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
$346.74
Median
$630.96
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$478.63

Where Nebraska 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.

Nebraska· 2nd of 51

$355

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.