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Targeted Analysis of a Single Gene

Kentucky 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?

$83.18

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 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 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$83.18$66.07 to $89.13
FacilityA hospital or hospital-owned outpatient department$83.18$67.61 to $115

How much rates vary

Facilitymedian $83 · 10th to 90th $68 to $200Professionalmedian $83 · 10th to 90th $50 to $107
$50$100$200facility $83professional $83

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
$83.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$89.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$87.10

Where Kentucky 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.

Kentucky· 32nd of 51

$83.18

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.