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Targeted Analysis of a Single Gene

Montana 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?

$120

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $141 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$112$50.12 to $120
FacilityA hospital or hospital-owned outpatient department$141$126 to $162

How much rates vary

Facilitymedian $141 · 10th to 90th $112 to $245Professionalmedian $112 · 10th to 90th $35 to $148
$50$100$200$500facility $141professional $112

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
$95.50
Median
$95.50
Typical High
$95.50
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$288.40
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$141.25
Typical High
$165.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$151.36
Providence
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$467.74
Providence
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$83.18

Where Montana 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.

Montana· 5th of 51

$120

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.