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Analysis Of One Gene

Utah 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?

$174

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $933 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 7 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$174$166 to $174
FacilityA hospital or hospital-owned outpatient department$933$224 to $933

How much rates vary

Facilitymedian $933 · 10th to 90th $174 to $1,230Professionalmedian $174 · 10th to 90th $83 to $214
$100$200$500$1Kfacility $933professional $174

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
$173.78
Median
$933.25
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$194.98

Where Utah 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.

Utah· 33rd of 51

$174

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.