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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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$67.61

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $54.95 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

Professionalmedian $68 · 10th to 90th $42 to $91
$50$100$200professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$63.10
CareFirst
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$74.13
Typical High
$75.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$61.66
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$100.00
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$45.71
Typical High
$72.44
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.59
Typical High
$12.59

Where Maryland sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Maryland· 41st of 51

$67.61

AK $186NE $54.95

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.