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Mitochondrial DNA Large Deletion Test

Utah 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?

$871

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,148 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$832$724 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,148$1,072 to $1,862

How much rates vary

Facilitymedian $1,148 · 10th to 90th $794 to $1,862Professionalmedian $832 · 10th to 90th $692 to $1,148
$500.0$1.0K$2.0K$5.0Kfacility $1,148professional $832

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
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$3,801.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,230.27
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$933.25

Where Utah 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.

Utah $871 · 32nd 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.