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Genetic Analysis Of One Gene

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $741 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 5 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$151 to $200
FacilityA hospital or hospital-owned outpatient department$741$302 to $1,413

How much rates vary

Facilitymedian $741 · 10th to 90th $219 to $9,333Professionalmedian $158 · 10th to 90th $95 to $275
$100$500$2K$10Kfacility $741professional $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
$269.15
Median
$758.58
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$457.09
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$234.42

Where New Jersey 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.

New Jersey· 40th 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.