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Gene Analysis, Single Gene

Vermont 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?

$158

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $95.50 to $170.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $229Professionalmedian $158 · 10th to 90th $74 to $209
$100$200$500facility $138professional $158

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
$95.50
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$154.88
Typical High
$204.17
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$158.49
Typical High
$302.00

Where Vermont 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.

Vermont· 11th of 51

$158

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.