go back

Genetic Analysis Of One Gene

Vermont 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?

$162

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $151 to $275.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $398Professionalmedian $162 · 10th to 90th $107 to $525
$100$200$500$1Kfacility $240professional $162

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
Professional
Modifier
None
Typical Low
$112.20
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$537.03
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$223.87
Typical High
$524.81

Where Vermont 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.

Vermont· 43rd of 51

$162

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.