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Analysis Of One Gene

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $204 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 8 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$145$87.10 to $166
FacilityA hospital or hospital-owned outpatient department$204$195 to $407

How much rates vary

Facilitymedian $204 · 10th to 90th $166 to $708Professionalmedian $145 · 10th to 90th $78 to $316
$100$200$500$1K$2K$5K$10Kfacility $204professional $145

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
$144.54
Median
$363.08
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$128.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$407.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$223.87

Where Virginia 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.

Virginia· 38th of 51

$166

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.