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Targeted Analysis of a Single Gene

Georgia 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?

$75.86

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $95.50 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 6 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$66.07$50.12 to $79.43
FacilityA hospital or hospital-owned outpatient department$95.50$69.18 to $117

How much rates vary

Facilitymedian $95 · 10th to 90th $55 to $234Professionalmedian $66 · 10th to 90th $33 to $138
$100.0$1.0K$10.0K$100.0Kfacility $95professional $66

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
$54.95
Median
$117.49
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$107.15

Where Georgia 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.

Georgia $75.86 · 40th 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.