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Mitochondrial DNA Large Deletion Test

Massachusetts 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 $1,862 · 10th–90th $851$3,0200%10%10th90th$1,862Professionalmedian $933 · 10th–90th $617$2,1880%20%40%10th90th$933$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
$933.25
Median
$1,778.28
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,818.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$4,466.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$1,949.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,348.96
Typical High
$1,584.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,548.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$4,466.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,778.28