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Mitochondrial DNA Large Deletion Test

Washington, DC 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 July 2026.

Facilitymedian $708 · 10th–90th $708$1,5850%50%90th$708Professionalmedian $708 · 10th–90th $676$7240%50%10th90th$708$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$707.95
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,202.26
Typical High
$4,265.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$933.25