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Gene Analysis, Single Gene

Utah 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?

$123

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $117 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$81.28 to $138
FacilityA hospital or hospital-owned outpatient department$158$123 to $661

How much rates vary

Facilitymedian $158 · 10th to 90th $123 to $871Professionalmedian $117 · 10th to 90th $58 to $170
$100$200$500facility $158professional $117

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
$123.03
Median
$660.69
Typical High
$870.96
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$331.13
Typical High
$436.52
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$131.83
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$165.96
Typical High
$251.19
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$158.49
Typical High
$549.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$151.36
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$81.28

Where Utah 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.

Utah· 32nd of 51

$123

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.