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Targeted Analysis of a Single Gene

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $115 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$72.44$45.71 to $97.72
FacilityA hospital or hospital-owned outpatient department$115$83.18 to $145

How much rates vary

Facilitymedian $115 · 10th to 90th $81 to $191Professionalmedian $72 · 10th to 90th $33 to $162
$50$100$200facility $115professional $72

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
$81.28
Median
$138.04
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$173.78
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$112.20

Where Missouri sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Missouri· 33rd of 51

$83.18

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.