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Genetic Analysis Of One Gene

Ohio 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?

$204

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $324 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 8 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$123 to $229
FacilityA hospital or hospital-owned outpatient department$324$240 to $525

How much rates vary

Facilitymedian $324 · 10th to 90th $195 to $575Professionalmedian $191 · 10th to 90th $95 to $417
$100$200$500$1Kfacility $324professional $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
$190.55
Median
$426.58
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$478.63
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$977.24
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$257.04
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$331.13

Where Ohio 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.

Ohio· 35th of 51

$204

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.