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Analysis Of One Gene

West 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 October 2026.

How much does Analysis Of One Gene cost?

$166

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $380 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$97.72 to $282
FacilityA hospital or hospital-owned outpatient department$380$162 to $479

How much rates vary

Facilitymedian $380 · 10th to 90th $158 to $575Professionalmedian $158 · 10th to 90th $81 to $355
$100$200$500$1Kfacility $380professional $158

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$158.49
Typical High
$165.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$380.19
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$281.84
Typical High
$933.25
United
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$97.72
Typical High
$354.81

Where West Virginia 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.

West Virginia· 36th of 51

$166

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.