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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 July 2026.

How much does Targeted Analysis of a Single Gene cost?

$107

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $269 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 5 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$70.79$61.66 to $107
FacilityA hospital or hospital-owned outpatient department$269$141 to $490

How much rates vary

Facilitymedian $269 · 10th to 90th $107 to $832Professionalmedian $71 · 10th to 90th $46 to $117
$50$200$1K$5K$20Kfacility $269professional $71

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
$107.15
Median
$269.15
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$89.13
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$158.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$83.18
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$95.50

Where New Jersey 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.

New Jersey· 8th of 51

$107

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.