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Mitochondrial DNA Large Deletion Test

Montana 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.

How much does Mitochondrial DNA Large Deletion Test cost?

$1,259

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,413 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$1,072 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,413$1,175 to $1,622

How much rates vary

Facilitymedian $1,413 · 10th to 90th $933 to $2,818Professionalmedian $1,175 · 10th to 90th $389 to $6,166
$500.0$1.0K$2.0K$5.0Kfacility $1,413professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$2,818.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$5,370.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$933.25

Where Montana sits

The same service costs 2.0 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $1,259 · 4th of 51
SD $1,413DC $708

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.