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Targeted Analysis of a Single Gene

Iowa 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.

Facilitymedian $129 · 10th–90th $65$2400%10%20%10th90th$129Professionalmedian $72 · 10th–90th $50$5500%10%10th90th$72$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$194.98
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$100.00
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$109.65
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18