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Genetic Analysis Of One Gene

South Carolina 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?

$191

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $437 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 5 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$186 to $195
FacilityA hospital or hospital-owned outpatient department$437$186 to $759

How much rates vary

Facilitymedian $437 · 10th to 90th $166 to $1,122Professionalmedian $186 · 10th to 90th $129 to $251
$100$200$500$1Kfacility $437professional $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
$588.84
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$251.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$239.88

Where South Carolina 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.

South Carolina· 38th of 51

$191

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.