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Gene Analysis On A Patient Sample

Rhode Island 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?

$200

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $240 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$120 to $427
FacilityA hospital or hospital-owned outpatient department$240$200 to $257

How much rates vary

Facilitymedian $240 · 10th to 90th $182 to $692Professionalmedian $158 · 10th to 90th $105 to $724
$100$200$500$1Kfacility $240professional $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
$426.58
Median
$426.58
Typical High
$426.58
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$257.04
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$151.36
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$691.83
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$331.13

Where Rhode Island 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.

Rhode Island· 25th of 51

$200

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.