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Targeted Analysis of a Single Gene

Michigan 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?

$61.66

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $79.43 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$45.71 to $79.43
FacilityA hospital or hospital-owned outpatient department$79.43$75.86 to $100

How much rates vary

Facilitymedian $79 · 10th to 90th $62 to $145Professionalmedian $62 · 10th to 90th $15 to $83
$10$20$50$100$200facility $79professional $62

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
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$123.03
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$61.66
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$81.28
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$40.74
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$16.22
Typical High
$16.60
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$93.33
Typical High
$154.88
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$83.18
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$79.43
Typical High
$123.03
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$61.66
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$24.55
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$69.18
Typical High
$87.10
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Priority Health
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$91.20
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$74.13
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$48.98
Typical High
$87.10

Where Michigan 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.

Michigan· 47th of 51

$61.66

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.