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Mitochondrial DNA Large Deletion Test

Texas 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 $1,148 · 10th–90th $562$4,4670%10%10th90th$1,148Professionalmedian $708 · 10th–90th $389$1,1750%10%20%10th90th$708$2.0$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
$575.44
Median
$1,348.96
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$2,290.87
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$512.86
Typical High
$741.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,698.24
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$7,079.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$933.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$933.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$933.25
Typical High
$1,258.93