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Gene Analysis On A Patient Sample

Florida rates for HCPCS 81203

Laboratory analysis of a single gene using DNA taken from the patient, reported as whether particular changes are present. The clinician who ordered the test combines the result with the person's symptoms, examination and family history.

Rates data updated October 2026.

How much does Gene Analysis On A Patient Sample cost?

$174

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $372 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$141$89.13 to $282
FacilityA hospital or hospital-owned outpatient department$372$316 to $372

How much rates vary

Facilitymedian $372 · 10th to 90th $200 to $372Professionalmedian $141 · 10th to 90th $71 to $427
$10$20$50$100$200$500facility $372professional $141

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
$144.54
Median
$173.78
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$85.11
Typical High
$85.11
AvMed
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$199.53
Typical High
$245.47
AvMed
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$288.40
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$154.88
Typical High
$363.08
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$602.56
Molina
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$199.53

Where Florida sits

The same service costs 3.8 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.

Florida· 36th of 51

$174

TX $490OK $129

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.