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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 July 2026.

How much does Targeted Analysis of a Single Gene cost?

$112

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $132 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$105$95.50 to $191
FacilityA hospital or hospital-owned outpatient department$132$105 to $245

How much rates vary

Facilitymedian $132 · 10th to 90th $83 to $513Professionalmedian $105 · 10th to 90th $35 to $550
$100$1K$10K$100Kfacility $132professional $105

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
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$251.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$251.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$87.10

Where Montana 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.

Montana· 7th of 51

$112

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.