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Analysis Of One Gene

Maine rates for HCPCS 81357

A molecular laboratory test that examines the DNA of a single gene from a patient sample and reports the changes it finds. Results are normally reviewed with a specialist who can explain what they mean for the person tested.

Rates data updated July 2026.

How much does Analysis Of One Gene cost?

$195

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $316 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$195$155 to $195
FacilityA hospital or hospital-owned outpatient department$316$195 to $871

How much rates vary

Facilitymedian $316 · 10th to 90th $195 to $1,230Professionalmedian $195 · 10th to 90th $115 to $229
$50.0$100.0$200.0$500.0$1.0Kfacility $316professional $195

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
$194.98
Median
$194.98
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,230.27
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$245.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$870.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$295.12

Where Maine 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.

Maine $195 · 21st of 51
AK $437DE $129

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.