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Mitochondrial DNA Large Deletion Test

South Carolina 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 $1,318 · 10th–90th $708$4,2660%10%10th90th$1,318Professionalmedian $724 · 10th–90th $562$9770%50%10th90th$724$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
$660.69
Median
$2,290.87
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,090.30
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,122.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$933.25