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Analysis Of One Gene

South 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?

$155

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $479 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 5 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$151 to $170
FacilityA hospital or hospital-owned outpatient department$479$155 to $617

How much rates vary

Facilitymedian $479 · 10th to 90th $151 to $912Professionalmedian $151 · 10th to 90th $115 to $204
$100$200$500$1Kfacility $479professional $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
$151.36
Median
$478.63
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$630.96
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$199.53

Where South Carolina sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 44th of 51

$155

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.