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Targeted Analysis of a Single Gene

Maryland 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?

$67.61

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $61.66 to $74.13.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $63Professionalmedian $68 · 10th to 90th $40 to $107
$1.0$5.0$20.0$100.0$500.0facility $35professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$107.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$72.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$66.07

Where Maryland 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.

Maryland $67.61 · 45th 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.