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Mitochondrial DNA Large Deletion Test

Minnesota 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 $2,239 · 10th–90th $871$6,9180%20%10th90th$2,239Professionalmedian $933 · 10th–90th $741$1,3800%20%40%10th90th$933$10.0$50.0$200.0$1.0K$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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$2,818.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$933.25
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,162.28
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,905.46
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$6,918.31
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,071.52
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$933.25
Typical High
$2,041.74