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Targeted Analysis of a Single Gene

North Carolina 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?

$66.07

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $110 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$66.07$50.12 to $83.18
FacilityA hospital or hospital-owned outpatient department$110$72.44 to $295

How much rates vary

Facilitymedian $110 · 10th to 90th $66 to $324Professionalmedian $66 · 10th to 90th $37 to $110
$10.0$20.0$50.0$100.0$200.0$500.0facility $110professional $66

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
$66.07
Median
$138.04
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$181.97
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$112.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$104.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$616.60

Where North Carolina sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $66.07 · 50th of 51
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.