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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 July 2026.

How much does Genetic Analysis Of One Gene cost?

$355

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $457 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 6 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$324$186 to $550
FacilityA hospital or hospital-owned outpatient department$457$437 to $457

How much rates vary

Facilitymedian $457 · 10th to 90th $269 to $457Professionalmedian $324 · 10th to 90th $158 to $617
$100$200$500facility $457professional $324

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
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$1,202.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88

Where South Dakota 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 Dakota· 3rd of 51

$355

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.