go back

Targeted Analysis of a Single Gene

Indiana 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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$66.07

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $83.18 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$33.11 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$74.13 to $166

How much rates vary

Facilitymedian $83 · 10th to 90th $66 to $251Professionalmedian $50 · 10th to 90th $33 to $126
$50$100$200$500$1K$2Kfacility $83professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$125.89
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$67.61
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$33.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$13.49
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$83.18
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$83.18
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$74.13
Typical High
$158.49
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$208.93
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$70.79
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$100.00

Where Indiana sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Indiana· 42nd of 51

$66.07

AK $186NE $54.95

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.