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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 July 2026.

How much does Analysis Of One Gene cost?

$158

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $240 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 4 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$155$145 to $166
FacilityA hospital or hospital-owned outpatient department$240$158 to $288

How much rates vary

Facilitymedian $240 · 10th to 90th $158 to $288Professionalmedian $155 · 10th to 90th $129 to $166
$100.0$200.0$500.0$1.0Kfacility $240professional $155

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
$158.49
Median
$239.88
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$213.80

Where West Virginia sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $158 · 40th of 51
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.