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Genetic Analysis Of One Gene

New York 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?

$209

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $355 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 9 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$186$95.50 to $263
FacilityA hospital or hospital-owned outpatient department$355$240 to $550

How much rates vary

Facilitymedian $355 · 10th to 90th $162 to $661Professionalmedian $186 · 10th to 90th $93 to $407
$100$200$500$1Kfacility $355professional $186

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
$165.96
Median
$389.05
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$389.05
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$239.88
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$512.86
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$1,148.15
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$912.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$446.68
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$436.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$309.03
Typical High
$1,230.27
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$363.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$251.19
Univera
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$537.03

Where New York 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 York· 30th of 51

$209

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.