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Analysis Of One Specific Gene

Illinois rates for HCPCS 81320

Reads one particular gene from a sample and reports what the laboratory finds within it. Because the analysis is aimed at a single gene rather than scanning broadly, it is used when the question has already been narrowed down to that one part of the DNA.

Rates data updated October 2026.

How much does Analysis Of One Specific Gene cost?

$224

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $589 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$148 to $251
FacilityA hospital or hospital-owned outpatient department$589$389 to $1,000

How much rates vary

Facilitymedian $589 · 10th to 90th $324 to $1,778Professionalmedian $224 · 10th to 90th $3 to $407
$10$100$1Kfacility $589professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$467.74
Typical High
$891.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$229.09
Typical High
$436.52
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$91.20
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$239.88
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$120.23
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$47.86
Typical High
$52.48
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$426.58
Typical High
$3,801.89
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$199.53
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$707.95
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$346.74
Typical High
$478.63
Hally Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$407.38
Typical High
$549.54
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$346.74
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$173.78
Typical High
$295.12

Where Illinois sits

The same service costs 4.5 times more in Texas than in Delaware. 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.

Illinois· 42nd of 51

$224

TX $776DE $174

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.