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Analysis Of One Gene

Rhode Island rates for HCPCS 81357

A molecular laboratory test that examines the DNA of a single gene from a patient sample and reports the changes it finds. Results are normally reviewed with a specialist who can explain what they mean for the person tested.

Rates data updated July 2026.

How much does Analysis Of One Gene cost?

$145

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $245 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$145$135 to $145
FacilityA hospital or hospital-owned outpatient department$245$224 to $871

How much rates vary

Facilitymedian $245 · 10th to 90th $195 to $871Professionalmedian $145 · 10th to 90th $115 to $195
$100$200$500facility $245professional $145

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
$549.54
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$281.84

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· 47th of 51

$145

AK $437DE $129

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.