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Gene Analysis, Single Gene

New Jersey 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?

$95.50

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $5,888 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$95.50$74.13 to $95.50
FacilityA hospital or hospital-owned outpatient department$5,888$302 to $16,218

How much rates vary

Facilitymedian $5,888 · 10th to 90th $151 to $21,878Professionalmedian $95 · 10th to 90th $72 to $162
$50$200$1K$5K$20Kfacility $5,888professional $95

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
$72.44
Median
$89.13
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$36.31
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$14.45
Typical High
$23.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$354.81
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$162.18
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$177.83
Typical High
$199.53
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$81.28
Typical High
$138.04

Where New Jersey 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.

New Jersey· 46th of 51

$95.50

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.