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Mitochondrial DNA Large Deletion Test

Michigan 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?

$891

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $891 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$851 to $955
FacilityA hospital or hospital-owned outpatient department$891$891 to $1,122

How much rates vary

Facilitymedian $891 · 10th to 90th $851 to $1,622Professionalmedian $891 · 10th to 90th $562 to $1,148
$500$1K$2Kfacility $891professional $891

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
$891.25
Median
$891.25
Typical High
$1,380.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$691.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$467.74
Typical High
$478.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$190.55
Typical High
$190.55
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$933.25
Typical High
$1,348.96
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$2,570.40
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$691.83
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$891.25
Typical High
$1,174.90
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Priority Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$933.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$851.14
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$562.34
Typical High
$933.25

Where Michigan 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.

Michigan· 25th of 51

$891

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.