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Gene Analysis, Single Gene

Rhode Island 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?

$102

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $158 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$102$81.28 to $132
FacilityA hospital or hospital-owned outpatient department$158$138 to $166

How much rates vary

Facilitymedian $158 · 10th to 90th $123 to $204Professionalmedian $102 · 10th to 90th $72 to $186
$100$200facility $158professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$173.78
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$102.33
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$186.21
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$229.09

Where Rhode Island 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.

Rhode Island· 45th of 51

$102

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.