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Targeted Analysis of a Single Gene

Connecticut rates for HCPCS 81246

A laboratory test that examines one specific gene in a sample of blood, bone marrow, or tissue, looking at defined positions within it to see whether a change is present. The finding is reported alongside the other results being used to reach a diagnosis or plan treatment.

Rates data updated October 2026.

How much does Targeted Analysis of a Single Gene cost?

$89.13

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $50.12 to $123.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $115 · 10th to 90th $83 to $219Professionalmedian $55 · 10th to 90th $40 to $132
$50$100$200facility $115professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$114.82
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$50.12
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$83.18
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$109.65
Typical High
$186.21
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$107.15
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$27.54
Typical High
$33.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$10.96
Typical High
$13.49

Where Connecticut sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Connecticut· 19th of 51

$89.13

AK $186NE $54.95

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.