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Genetic Analysis Of One Gene

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $195 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 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$195$151 to $204
FacilityA hospital or hospital-owned outpatient department$355$275 to $589

How much rates vary

Facilitymedian $355 · 10th to 90th $204 to $813Professionalmedian $195 · 10th to 90th $98 to $562
$100$200$500$1Kfacility $355professional $195

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
$204.17
Median
$363.08
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$851.14
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$309.03
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$380.19
Typical High
$676.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$812.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$851.14
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$588.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$323.59

Where Pennsylvania 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.

Pennsylvania· 33rd 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.