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Mismatch Repair Gene Test For Inherited Cancer Risk

Rhode Island rates for HCPCS 81295

A laboratory test that reads a gene involved in repairing the errors cells make when they copy their DNA, looking for inherited changes that raise the risk of bowel, womb and several related cancers. It is ordered when a personal or family cancer history, or a finding in a tumor sample, points to an inherited cause.

Rates data updated July 2026.

How much does Mismatch Repair Gene Test For Inherited Cancer Risk cost?

$288

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $331 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$288$107 to $501
FacilityA hospital or hospital-owned outpatient department$331$224 to $457

How much rates vary

Facilitymedian $331 · 10th to 90th $151 to $2,188Professionalmedian $288 · 10th to 90th $107 to $603
$100$200$500$1K$2Kfacility $331professional $288

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
$181.97
Median
$331.13
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$436.52
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$213.80
Typical High
$380.19

Where Rhode Island sits

The same service costs 3.2 times more in Alaska than in North Dakota. 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· 50th of 51

$288

AK $851ND $269

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.