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Mitochondrial DNA Large Deletion Test

Georgia 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 $1,072 · 10th–90th $617$1,7380%20%10th90th$1,072Professionalmedian $617 · 10th–90th $372$1,0000%20%10th90th$617$100.0$500.0$2.0K$10.0K$50.0K

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
$616.60
Median
$870.96
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$933.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,819.70
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$7,244.36
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$1,122.02