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Targeted Analysis of a Single Gene

Maine 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 Maine, 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 6 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$67.61 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $209

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $372Professionalmedian $83 · 10th to 90th $50 to $100
$20.0$50.0$100.0$200.0$500.0facility $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
$83.18
Median
$83.18
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$100.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$371.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$128.82

Where Maine 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.

Maine $83.18 · 30th 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.