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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 July 2026.

How much does Targeted Analysis of a Single Gene cost?

$107

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $129 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 5 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$69.18$54.95 to $120
FacilityA hospital or hospital-owned outpatient department$129$83.18 to $182

How much rates vary

Facilitymedian $129 · 10th to 90th $83 to $229Professionalmedian $69 · 10th to 90th $46 to $186
$50$100$200$500facility $129professional $69

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$104.71
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$104.71
Typical High
$173.78
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$144.54

Where Connecticut sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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· 12th of 51

$107

AK $186DC $61.66

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.