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Single-Gene Molecular Test

Rhode Island rates for HCPCS 81252

A laboratory test that examines the DNA of one gene in a sample from the patient and reports whether particular changes are present. It is ordered when a specific gene is in question, and the result is read together with the clinical findings.

Rates data updated July 2026.

How much does Single-Gene Molecular Test cost?

$158

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $120 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$158$75.86 to $158
FacilityA hospital or hospital-owned outpatient department$120$117 to $282

How much rates vary

Facilitymedian $120 · 10th to 90th $100 to $575Professionalmedian $158 · 10th to 90th $76 to $158
$50$100$200$500facility $120professional $158

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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$144.54

Where Rhode Island sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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· 3rd of 51

$158

AK $229DC $75.86

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.