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Analysis Of A Single Gene

Montana rates for HCPCS 81312

Examines one specific gene in a sample and reports what the laboratory finds in it. Testing is aimed at that gene alone rather than scanning widely, so it is used when symptoms, family history, or earlier results have already narrowed the question down to one place in the DNA.

Rates data updated July 2026.

How much does Analysis Of A Single Gene cost?

$182

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $204 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$170$158 to $269
FacilityA hospital or hospital-owned outpatient department$204$170 to $269

How much rates vary

Facilitymedian $204 · 10th to 90th $138 to $427Professionalmedian $170 · 10th to 90th $58 to $912
$100.0$200.0$500.0$1.0Kfacility $204professional $170

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
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$416.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04

Where Montana sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $182 · 5th of 51
AK $309DE $91.20

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.