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Genetic Analysis Of One Gene

West 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?

$191

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $295 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 4 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$191$162 to $204
FacilityA hospital or hospital-owned outpatient department$295$195 to $355

How much rates vary

Facilitymedian $295 · 10th to 90th $195 to $355Professionalmedian $191 · 10th to 90th $158 to $204
$100$200$500$1Kfacility $295professional $191

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
$194.98
Median
$295.12
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$234.42

Where West 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.

West Virginia· 41st 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.