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Gene Test For Inherited Colon Polyp Condition

Rhode Island rates for HCPCS 81201

A blood test that reads the full sequence of a gene linked to an inherited condition in which large numbers of growths develop in the bowel, carrying a very high risk of bowel cancer. Finding the change confirms the diagnosis and shows which relatives should be tested.

Rates data updated July 2026.

How much does Gene Test For Inherited Colon Polyp Condition cost?

$794

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $933 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$589 to $955
FacilityA hospital or hospital-owned outpatient department$933$891 to $1,148

How much rates vary

Facilitymedian $933 · 10th to 90th $708 to $4,467Professionalmedian $794 · 10th to 90th $501 to $955
$500$1K$2K$5Kfacility $933professional $794

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$1,122.02

Where Rhode Island sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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· 21st of 51

$794

AK $1,738OK $575

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.