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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.

Facilitymedian $1,148 · 10th–90th $794$1,8620%20%10th90th$1,148Professionalmedian $832 · 10th–90th $692$1,1480%10%20%10th90th$832$500.0$1.0K$2.0K$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
$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