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Gene Analysis, Single Gene

Pennsylvania 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?

$112

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $182 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$102 to $138
FacilityA hospital or hospital-owned outpatient department$182$138 to $417

How much rates vary

Facilitymedian $182 · 10th to 90th $112 to $692Professionalmedian $112 · 10th to 90th $66 to $204
$100$1K$10Kfacility $182professional $112

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
$112.20
Median
$117.49
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$54.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$22.39
Typical High
$23.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$107.15
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$223.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$128.82
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$177.83
Typical High
$177.83
Geisinger
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Geisinger
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$158.49
Typical High
$269.15
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$467.74
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$54.95
Typical High
$58.88
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$22.39
Typical High
$23.44
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$151.36
Typical High
$338.84
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$138.04
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$165.96

Where Pennsylvania 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.

Pennsylvania· 37th of 51

$112

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.