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Genetic Analysis Of One Gene

Rhode Island rates for HCPCS 81300

One gene is examined in the laboratory using DNA taken from a patient sample, and any changes found in it are reported. The result is used to support a diagnosis or to help plan treatment.

Rates data updated October 2026.

How much does Genetic Analysis Of One Gene cost?

$162

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $275 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$151$141 to $191
FacilityA hospital or hospital-owned outpatient department$275$162 to $288

How much rates vary

Facilitymedian $275 · 10th to 90th $145 to $501Professionalmedian $151 · 10th to 90th $100 to $398
$100$200$500$1Kfacility $275professional $151

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
$151.36
Median
$151.36
Typical High
$151.36
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$275.42
Typical High
$288.40
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$177.83
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$501.19
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$141.25
Typical High
$398.11

Where Rhode Island sits

The same service costs 3.8 times more in Alaska 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· 42nd of 51

$162

AK $537OK $141

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.