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Targeted Analysis of a Single Gene

Oregon 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?

$91.20

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $91.20 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$87.10$77.62 to $120
FacilityA hospital or hospital-owned outpatient department$91.20$83.18 to $166

How much rates vary

Facilitymedian $91 · 10th to 90th $83 to $209Professionalmedian $87 · 10th to 90th $71 to $162
$50$100$200$500facility $91professional $87

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
$107.15
Median
$162.18
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$218.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$117.49
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$165.96
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$100.00

Where Oregon 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.

Oregon· 21st of 51

$91.20

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.