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Mitochondrial DNA Large Deletion Test

New York 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 $1,622 · 10th–90th $891$2,5700%10%10th90th$1,622Professionalmedian $933 · 10th–90th $372$1,6220%20%10th90th$933$20.0$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
$1,621.81
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$2,454.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,698.24
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$933.25
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,995.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,258.93
Typical High
$4,466.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,778.28
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,659.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$1,230.27
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,412.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,000.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$2,238.72