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Targeted Analysis of a Single Gene

Washington, DC 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?

$61.66

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $61.66 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$61.66$61.66 to $64.57
FacilityA hospital or hospital-owned outpatient department$61.66$61.66 to $100

How much rates vary

Facilitymedian $62 · 10th to 90th $62 to $141Professionalmedian $62 · 10th to 90th $62 to $145
$50$100$200$500facility $62professional $62

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$169.82
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$104.71
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$77.62

Where Washington, DC 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.

Washington, DC· 51st of 51

$61.66

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.