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Targeted Analysis of a Single Gene

Massachusetts 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 Massachusetts, 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 $166 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 9 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$83.18 to $107
FacilityA hospital or hospital-owned outpatient department$166$107 to $229

How much rates vary

Facilitymedian $166 · 10th to 90th $83 to $269Professionalmedian $83 · 10th to 90th $55 to $209
$100.0$1.0K$10.0Kfacility $166professional $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
$83.18
Median
$162.18
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$251.19
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$269.15
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$218.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$141.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$151.36
Health New England
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$269.15
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$190.55

Where Massachusetts sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $83.18 · 31st of 51
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.