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Targeted Analysis of a Single Gene

Ohio 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?

$79.43

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $126 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 8 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$66.07$44.67 to $83.18
FacilityA hospital or hospital-owned outpatient department$126$87.10 to $245

How much rates vary

Facilitymedian $126 · 10th to 90th $69 to $295Professionalmedian $66 · 10th to 90th $33 to $182
$50$100$200facility $126professional $66

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
$69.18
Median
$181.97
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$42.66
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$165.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$338.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$91.20
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$114.82

Where Ohio 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.

Ohio· 36th of 51

$79.43

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.