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DNA Test Of One Gene

Colorado rates for HCPCS 81343

Examination of a single gene's DNA in a sample from the patient, reported as whether particular changes are present. The laboratory returns the finding to the ordering clinician, who interprets it in light of the person's symptoms and family history.

Rates data updated July 2026.

How much does DNA Test Of One Gene cost?

$145

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $331 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 7 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$105$81.28 to $112
FacilityA hospital or hospital-owned outpatient department$331$182 to $575

How much rates vary

Facilitymedian $331 · 10th to 90th $105 to $692Professionalmedian $105 · 10th to 90th $58 to $148
$50.0$100.0$200.0$500.0$1.0Kfacility $331professional $105

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
$87.10
Median
$302.00
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$407.38
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$199.53
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$213.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$81.28

Where Colorado 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.

Colorado $145 · 13th 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.