Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in Indiana
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Indiana
| Provider | Medicare | Services |
|---|---|---|
| Toxusa Labs Llc | $171.31 | 62 |
Indiana Pricing in Context
In Indiana, CPT code 81231 (Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant) carries an average Medicare payment of $171.31 — 0% below the national benchmark of $171.31. 1 providers across the state submitted claims for this procedure in 2023, performing 62 total services. Individual payments in IN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Indiana is $192.50, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Indiana sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Genetic/Molecular Test procedures, the estimated commercial insurance price in Indiana lands near $359.75, with self-pay cash prices typically around $181.42. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant cost in Indiana?
The average Medicare payment for Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in Indiana is $171.31, which is 0% below the national average of $171.31. Providers in IN typically bill $192.50 for this procedure.
What does Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant cost with insurance in Indiana?
With commercial insurance in Indiana, Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant costs an estimated $359.75. Without insurance, the estimated cash price is $181.42. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in Indiana?
1 providers in Indiana billed Medicare for Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in 2023, performing 62 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant cheaper in Indiana than the national average?
Yes — Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant costs 0% below the national average in Indiana. The state average Medicare payment is $171.31 compared to $171.31 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.