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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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$66.07

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $115 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$33.11 to $79.43
FacilityA hospital or hospital-owned outpatient department$115$87.10 to $166

How much rates vary

Facilitymedian $115 · 10th to 90th $76 to $269Professionalmedian $45 · 10th to 90th $33 to $158
$50$100$200$500facility $115professional $45

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$199.53
Typical High
$331.13
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$79.43
Typical High
$186.21
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$31.62
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$13.18
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$95.50
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$120.23
CareSource
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$100.00
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$117.49
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$102.33
Typical High
$338.84
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$147.91
Molina
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$74.13
Typical High
$102.33
SummaCare
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$102.33
Typical High
$131.83
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$117.49

Where Ohio 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.

Ohio· 43rd of 51

$66.07

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.