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Gene Analysis, Single Gene

New Mexico 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 July 2026.

How much does Gene Analysis, Single Gene cost?

$141

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $437 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$102$81.28 to $166
FacilityA hospital or hospital-owned outpatient department$437$204 to $832

How much rates vary

Facilitymedian $437 · 10th to 90th $123 to $1,148Professionalmedian $102 · 10th to 90th $58 to $912
$100$1K$10K$100Kfacility $437professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$741.31
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$141.25
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$123.03
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$109.65

Where New Mexico sits

The same service costs 3.4 times more in Alaska than in Delaware. 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 Mexico· 12th of 51

$141

AK $309DE $91.20

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.