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Analysis Of One Gene

North Carolina 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?

$166

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $186 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$155$155 to $200
FacilityA hospital or hospital-owned outpatient department$186$166 to $309

How much rates vary

Facilitymedian $186 · 10th to 90th $155 to $646Professionalmedian $155 · 10th to 90th $126 to $309
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $186professional $155

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
$154.88
Median
$169.82
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$426.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44

Where North Carolina 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.

North Carolina $166 · 36th 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.