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Mitochondrial DNA Large Deletion Test

Arizona rates for HCPCS 81465

A laboratory test that examines the DNA inside mitochondria, the structures that generate energy inside cells, looking for large missing sections. It also reports what proportion of a person's mitochondria carry the change, since this varies from cell to cell and from tissue to tissue.

Rates data updated October 2026.

How much does Mitochondrial DNA Large Deletion Test cost?

$741

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,995 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$389 to $933
FacilityA hospital or hospital-owned outpatient department$1,995$794 to $3,090

How much rates vary

Facilitymedian $1,995 · 10th to 90th $589 to $4,467Professionalmedian $631 · 10th to 90th $389 to $4,677
$500$1K$2K$5Kfacility $1,995professional $631

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$3,019.95
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$316.23
Typical High
$354.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,691.53
Typical High
$4,073.80
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$891.25
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,819.70
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$707.95
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$891.25
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$831.76

Where Arizona sits

The same service costs 3.7 times more in Alaska than in Georgia. 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.

Arizona· 37th of 51

$741

AK $2,089GA $562

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.