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Targeted Analysis of a Single Gene

New York 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?

$83.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $132 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 9 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$69.18$45.71 to $107
FacilityA hospital or hospital-owned outpatient department$132$83.18 to $191

How much rates vary

Facilitymedian $132 · 10th to 90th $71 to $229Professionalmedian $69 · 10th to 90th $33 to $148
$50$100$200$500facility $132professional $69

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
$67.61
Median
$141.25
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$128.82
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$83.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$112.20
Typical High
$398.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$158.49
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$107.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$165.96
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$223.87
Univera
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$100.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$199.53

Where New York 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 York· 28th of 51

$83.18

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.