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Gene Analysis, Single Gene

Montana 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?

$200

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $234 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$123 to $200
FacilityA hospital or hospital-owned outpatient department$234$204 to $257

How much rates vary

Facilitymedian $234 · 10th to 90th $186 to $316Professionalmedian $182 · 10th to 90th $58 to $245
$100$200$500facility $234professional $182

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
$158.49
Median
$158.49
Typical High
$158.49
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$204.17
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$234.42
Typical High
$275.42
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$234.42
Typical High
$251.19
Providence
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$204.17
Typical High
$776.25
Providence
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$138.04

Where Montana 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.

Montana· 4th of 51

$200

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.