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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 October 2026.

How much does Genetic Analysis Of One Gene cost?

$166

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $6,457 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$141 to $166
FacilityA hospital or hospital-owned outpatient department$6,457$562 to $16,982

How much rates vary

Facilitymedian $6,457 · 10th to 90th $240 to $21,878Professionalmedian $151 · 10th to 90th $98 to $219
$100$500$2K$10Kfacility $6,457professional $151

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
Facility
Modifier
None
Typical Low
$107.15
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$151.36
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$75.86
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$30.20
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$660.69
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$239.88
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$309.03
Typical High
$346.74
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$141.25
Typical High
$186.21

Where New Jersey 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.

New Jersey· 41st of 51

$166

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.