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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 July 2026.

How much does Targeted Analysis of a Single Gene cost?

$100

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $91.20 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$91.20$61.66 to $100
FacilityA hospital or hospital-owned outpatient department$269$126 to $562

How much rates vary

Facilitymedian $269 · 10th to 90th $74 to $692Professionalmedian $91 · 10th to 90th $35 to $550
$100.0$1.0K$10.0K$100.0Kfacility $269professional $91

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
$125.89
Median
$251.19
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$93.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$66.07

Where New Mexico 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.

New Mexico $100 · 16th 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.