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Targeted Analysis of a Single Gene

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $204 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$67.61$66.07 to $100
FacilityA hospital or hospital-owned outpatient department$204$100 to $229

How much rates vary

Facilitymedian $204 · 10th to 90th $71 to $316Professionalmedian $68 · 10th to 90th $46 to $195
$50$100$200$500facility $204professional $68

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
$70.79
Median
$208.93
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$295.12
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$109.65
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$208.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$208.93
Typical High
$288.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$295.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$512.86
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$125.89

Where Pennsylvania 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.

Pennsylvania· 26th 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.