Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in Ohio
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Ohio
| Provider | Medicare | Services |
|---|---|---|
| Aura Genetics Of Ohio, Llc | $171.31 | 18 |
Ohio Pricing in Context
In Ohio, 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 18 total services. Individual payments in OH 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 Ohio is $262.21, 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 Ohio 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 Ohio lands near $359.75, with self-pay cash prices typically around $200.59. 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 Ohio?
The average Medicare payment for Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in Ohio is $171.31, which is 0% below the national average of $171.31. Providers in OH typically bill $262.21 for this procedure.
What does Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant cost with insurance in Ohio?
With commercial insurance in Ohio, 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 $200.59. 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 Ohio?
1 providers in Ohio billed Medicare for Gene Analysis (cytochrome P450 Family 3 Subfamily A Member 5) For Common Variant in 2023, performing 18 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 Ohio 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 Ohio. 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.