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Mitochondrial DNA Large Deletion Test

Kentucky 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 $933 · 10th–90th $776$2,2390%20%10th90th$933Professionalmedian $741 · 10th–90th $100$9330%20%10th90th$741$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$776.25
Median
$776.25
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$575.44
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$933.25