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Targeted Analysis of a Single Gene

Delaware 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?

$56.23

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $60.26 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$56.23$42.66 to $69.18
FacilityA hospital or hospital-owned outpatient department$60.26$53.70 to $69.18

How much rates vary

Facilitymedian $60 · 10th to 90th $54 to $339Professionalmedian $56 · 10th to 90th $35 to $126
$50$100$200facility $60professional $56

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
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$69.18
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$398.11
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$125.89

Where Delaware 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.

Delaware· 50th of 51

$56.23

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.