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Single-Gene Genetic Analysis

Vermont rates for HCPCS 81325

A laboratory examination of the DNA of one gene, performed on a sample provided by the patient, to find out whether particular changes are present in it. What the finding means depends on the condition being investigated, so it is interpreted by the clinician who ordered it.

Rates data updated July 2026.

How much does Single-Gene Genetic Analysis cost?

$224

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $224 to $324.

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 $776 · 10th to 90th $776 to $1,288Professionalmedian $224 · 10th to 90th $224 to $912
$500$1Kfacility $776professional $224

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
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,737.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$776.25
Typical High
$1,698.24

Where Vermont sits

The same service costs 7.8 times more in Alaska than in Vermont. 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· 51st of 51

$224

AK $1,738VT $224

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.