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Analysis Of One Gene

South Dakota 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 October 2026.

How much does Analysis Of One Gene cost?

$219

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $219 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$135 to $372
FacilityA hospital or hospital-owned outpatient department$219$219 to $372

How much rates vary

Facilitymedian $219 · 10th to 90th $182 to $372Professionalmedian $195 · 10th to 90th $98 to $457
$100$200$500$1Kfacility $219professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$218.78
Typical High
$218.78
Medica
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$173.78
Typical High
$354.81
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$114.82
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98

Where South Dakota sits

The same service costs 8.3 times more in Texas 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 Dakota· 13th of 51

$219

TX $955DE $115

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.