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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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$67.61

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $50.12 to $102.

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 $102 · 10th to 90th $79 to $132Professionalmedian $54 · 10th to 90th $43 to $120
$50$100$200$500facility $102professional $54

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
$54.95
Median
$67.61
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$102.33
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$50.12
Typical High
$72.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$83.18
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$83.18
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$144.54

Where Maine 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.

Maine· 39th 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.