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Family Change In The Bowel Polyp Gene

Texas rates for HCPCS 81202

Tests a person for the specific inherited change already identified in their family, in the gene that normally keeps the lining of the bowel from overgrowing. Faults in it cause large numbers of polyps to develop in the bowel, which become cancerous over time if they are not managed.

Rates data updated October 2026.

How much does Family Change In The Bowel Polyp Gene cost?

$871

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $708 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,413$170 to $2,089
FacilityA hospital or hospital-owned outpatient department$708$347 to $1,148

How much rates vary

Facilitymedian $708 · 10th to 90th $214 to $1,514Professionalmedian $1,413 · 10th to 90th $117 to $2,089
$10$50$200$1Kfacility $708professional $1,413

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
$186.21
Median
$407.38
Typical High
$1,513.56
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$199.53
Typical High
$758.58
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$81.28
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$239.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$87.10
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$34.67
Typical High
$52.48
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$977.24
Typical High
$1,621.81
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$154.88
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$524.81
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$269.15
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$338.84
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$199.53
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$81.28
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$87.10
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$34.67
Typical High
$44.67
Molina
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$281.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$602.56
Providence
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$524.81
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$288.40
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$380.19

Where Texas sits

The same service costs 5.1 times more in Texas 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.

Texas· 1st of 51

$871

TX $871OK $170

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.