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Gene Analysis, Single Gene

Illinois rates for HCPCS 81187

A test carried out in a molecular laboratory that looks at one gene in a patient's sample and reports any changes found in its DNA. It answers a narrow question, and is ordered when attention is already on a particular gene.

Rates data updated October 2026.

How much does Gene Analysis, Single Gene cost?

$105

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $275 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$69.18 to $117
FacilityA hospital or hospital-owned outpatient department$275$186 to $468

How much rates vary

Facilitymedian $275 · 10th to 90th $155 to $832Professionalmedian $105 · 10th to 90th $3 to $195
$5$20$100$500$2Kfacility $275professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$218.78
Typical High
$416.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$107.15
Typical High
$208.93
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$42.66
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$56.23
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$22.39
Typical High
$24.55
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$199.53
Typical High
$1,778.28
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$95.50
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$331.13
Typical High
$588.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$162.18
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$831.76
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$165.96
Typical High
$169.82
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$138.04

Where Illinois sits

The same service costs 5.5 times more in Texas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 42nd of 51

$105

TX $347AL $63.10

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.