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Targeted Analysis of a Single Gene

Illinois 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?

$67.61

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $129 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 5 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$64.57$45.71 to $77.62
FacilityA hospital or hospital-owned outpatient department$129$85.11 to $166

How much rates vary

Facilitymedian $129 · 10th to 90th $68 to $229Professionalmedian $65 · 10th to 90th $3 to $141
$5$20$100$500facility $129professional $65

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
$67.61
Median
$128.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$288.40
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$57.54
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$100.00
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$501.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$83.18

Where Illinois 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.

Illinois· 47th of 51

$67.61

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.