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Targeted Analysis of a Single Gene

New Mexico 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?

$74.13

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $389 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$37.15$34.67 to $93.33
FacilityA hospital or hospital-owned outpatient department$389$195 to $562

How much rates vary

Facilitymedian $389 · 10th to 90th $74 to $692Professionalmedian $37 · 10th to 90th $33 to $120
$50$100$200$500facility $389professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$269.15
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$100.00
Typical High
$100.00
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$446.68
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$74.13
Typical High
$190.55
Molina
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Providence
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Providence
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$109.65
Typical High
$120.23
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$34.67
Typical High
$50.12

Where New Mexico 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 Mexico· 35th of 51

$74.13

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.