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Single-Gene Genetic Test

Rhode Island rates for HCPCS 81249

Examination in a specialist laboratory of the DNA of one gene taken from a patient sample, reported as whether particular changes are present in that gene. The finding supports a diagnosis or a treatment decision rather than answering the question by itself.

Rates data updated July 2026.

How much does Single-Gene Genetic Test cost?

$447

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $891 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$447$417 to $447
FacilityA hospital or hospital-owned outpatient department$891$692 to $2,692

How much rates vary

Facilitymedian $891 · 10th to 90th $603 to $3,467Professionalmedian $447 · 10th to 90th $363 to $603
$500$1K$2Kfacility $891professional $447

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
$1,737.80
Median
$2,691.53
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$870.96

Where Rhode Island sits

The same service costs 3.4 times more in Alaska than in Delaware. 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· 48th of 51

$447

AK $1,349DE $398

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.