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Gene Analysis, One Gene

Washington, DC rates for HCPCS 81319

A genetic test performed on a blood, bone-marrow or tissue sample that examines a single gene and reports the DNA changes found in it. The result is read together with the clinical picture rather than standing on its own.

Rates data updated July 2026.

How much does Gene Analysis, One Gene cost?

$151

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $151 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 5 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$151$151 to $158
FacilityA hospital or hospital-owned outpatient department$151$151 to $245

How much rates vary

Facilitymedian $151 · 10th to 90th $151 to $347Professionalmedian $151 · 10th to 90th $148 to $275
$1.0$10.0$100.0$1.0Kfacility $151professional $151

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$158.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$457.09
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$190.55

Where Washington, DC sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $151 · 50th of 51
AK $457MD $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.