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Genetic Analysis Of One Gene

Virginia 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?

$209

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $257 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$178$105 to $204
FacilityA hospital or hospital-owned outpatient department$257$240 to $562

How much rates vary

Facilitymedian $257 · 10th to 90th $204 to $1,072Professionalmedian $178 · 10th to 90th $95 to $447
$100$200$500$1K$2K$5K$10Kfacility $257professional $178

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
$524.81
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$158.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$724.44
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$229.09

Where Virginia 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.

Virginia· 32nd of 51

$209

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.