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Genetic Analysis Of One Gene

South Dakota 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?

$269

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $269 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$166 to $457
FacilityA hospital or hospital-owned outpatient department$269$269 to $457

How much rates vary

Facilitymedian $269 · 10th to 90th $191 to $457Professionalmedian $245 · 10th to 90th $100 to $575
$100$200$500$1Kfacility $269professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$457.09
Typical High
$575.44
Medica
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$269.15
Typical High
$269.15
Medica
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$213.80
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$549.54
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$141.25
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88

Where South Dakota 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.

South Dakota· 11th of 51

$269

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.