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Analysis Of One Gene

New York 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?

$182

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $302 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 9 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$102 to $219
FacilityA hospital or hospital-owned outpatient department$302$195 to $447

How much rates vary

Facilitymedian $302 · 10th to 90th $135 to $537Professionalmedian $155 · 10th to 90th $78 to $398
$100.0$1.0K$10.0K$100.0Kfacility $302professional $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
$331.13
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$371.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$194.98
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$363.08
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$229.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$489.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$229.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$346.74

Where New York 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 York $182 · 31st 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.