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Gene Analysis, Single Gene

Maine 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?

$129

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $81.28 to $170.

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.

How much rates vary

Facilitymedian $182 · 10th to 90th $132 to $832Professionalmedian $89 · 10th to 90th $69 to $200
$100$200$500$1Kfacility $182professional $89

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
Professional
Modifier
None
Typical Low
$74.13
Median
$112.20
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$181.97
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$81.28
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$138.04
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$138.04
Typical High
$239.88
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$239.88

Where Maine 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.

Maine· 29th of 51

$129

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.