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Analysis Of One Gene

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $324 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$151$120 to $166
FacilityA hospital or hospital-owned outpatient department$324$251 to $871

How much rates vary

Facilitymedian $324 · 10th to 90th $191 to $1,698Professionalmedian $151 · 10th to 90th $102 to $240
$100.0$1.0K$10.0K$100.0Kfacility $324professional $151

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
$245.47
Median
$257.04
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$223.87
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$446.68
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$363.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$204.17

Where New Jersey 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.

New Jersey $166 · 39th 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.