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Targeted Analysis of a Single Gene

Florida 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?

$70.79

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $155 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 8 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$50.12 to $83.18
FacilityA hospital or hospital-owned outpatient department$155$83.18 to $245

How much rates vary

Facilitymedian $155 · 10th to 90th $68 to $331Professionalmedian $62 · 10th to 90th $50 to $107
$5.0$20.0$100.0$500.0facility $155professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$199.53
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
AvMed
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$97.72
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$147.91
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$74.13
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$109.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$83.18

Where Florida sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $70.79 · 43rd of 51
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.