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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.

Facilitymedian $166 · 10th–90th $83$2690%10%20%10th90th$166Professionalmedian $83 · 10th–90th $55$2090%20%40%10th90th$83$50.0$200.0$1.0K$5.0K$20.0K

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
$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