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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 October 2026.

How much does Genetic Analysis Of One Gene cost?

$191

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $295 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$95.50 to $224
FacilityA hospital or hospital-owned outpatient department$295$245 to $407

How much rates vary

Facilitymedian $295 · 10th to 90th $214 to $537Professionalmedian $120 · 10th to 90th $95 to $380
$100$200$500$1Kfacility $295professional $120

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
$223.87
Median
$426.58
Typical High
$602.56
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$213.80
Typical High
$302.00
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$85.11
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$257.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$38.02
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$275.42
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$331.13
CareSource
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$288.40
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$426.58
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$295.12
Typical High
$977.24
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$426.58
Molina
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$295.12
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$213.80
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$141.25
Typical High
$338.84

Where Ohio 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.

Ohio· 34th of 51

$191

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.