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Single-Gene Genetic Test

Rhode Island rates for HCPCS 81296

A DNA test that focuses on one gene rather than scanning many at once. It is run in a specialist laboratory on a sample taken from the patient, and the finding contributes to a diagnosis or to a treatment decision.

Rates data updated October 2026.

How much does Single-Gene Genetic Test cost?

$191

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $389 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$191$85.11 to $251
FacilityA hospital or hospital-owned outpatient department$389$129 to $407

How much rates vary

Facilitymedian $389 · 10th to 90th $117 to $437Professionalmedian $191 · 10th to 90th $66 to $355
$100$200$500$1Kfacility $389professional $191

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
$66.07
Median
$66.07
Typical High
$66.07
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$389.05
Typical High
$407.38
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$223.87
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$398.11
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$186.21
Typical High
$562.34

Where Rhode Island sits

The same service costs 6.6 times more in Texas than in Kentucky. 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· 45th of 51

$191

TX $891KY $135

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.