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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 July 2026.

How much does Targeted Analysis of a Single Gene cost?

$70.79

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $83.18 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 4 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$67.61$48.98 to $67.61
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $166

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $251Professionalmedian $68 · 10th to 90th $33 to $83
$50$100$200$500$1Kfacility $83professional $68

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
$91.20
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$100.00

Where Indiana 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.

Indiana· 44th of 51

$70.79

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.