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Targeted Analysis of a Single Gene

Idaho 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?

$85.11

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $126 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$85.11$77.62 to $100
FacilityA hospital or hospital-owned outpatient department$126$83.18 to $191

How much rates vary

Facilitymedian $126 · 10th to 90th $83 to $214Professionalmedian $85 · 10th to 90th $58 to $162
$50$100$200facility $126professional $85

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
$125.89
Median
$162.18
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$173.78
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$138.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$87.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$87.10

Where Idaho 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.

Idaho· 24th of 51

$85.11

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.