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Targeted Analysis of a Single Gene

New Jersey 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?

$57.54

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $6,457 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$50.12 to $107
FacilityA hospital or hospital-owned outpatient department$6,457$209 to $16,982

How much rates vary

Facilitymedian $6,457 · 10th to 90th $107 to $21,878Professionalmedian $58 · 10th to 90th $42 to $107
$100$1K$10Kfacility $6,457professional $58

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
$107.15
Median
$107.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.39
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$229.09
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$97.72
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$109.65
Typical High
$120.23
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$83.18

Where New Jersey 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.

New Jersey· 49th of 51

$57.54

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.