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Gene Analysis, Single Gene

Ohio 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?

$110

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $191 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$54.95 to $129
FacilityA hospital or hospital-owned outpatient department$191$145 to $257

How much rates vary

Facilitymedian $191 · 10th to 90th $126 to $372Professionalmedian $74 · 10th to 90th $55 to $219
$50$100$200$500$1Kfacility $191professional $74

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
$141.25
Median
$302.00
Typical High
$457.09
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$125.89
Typical High
$173.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$51.29
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$707.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$354.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$199.53
CareSource
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$194.98
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$169.82
Typical High
$562.34
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$186.21
Molina
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$123.03
Typical High
$169.82
SummaCare
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$123.03
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$194.98

Where Ohio 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.

Ohio· 38th of 51

$110

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.