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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.

Facilitymedian $129 · 10th–90th $68$2290%10%10th90th$129Professionalmedian $65 · 10th–90th $3$1410%20%10th90th$65$5.0$20.0$100.0$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
$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