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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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$67.61

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $135 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$64.57 to $83.18
FacilityA hospital or hospital-owned outpatient department$135$83.18 to $282

How much rates vary

Facilitymedian $135 · 10th to 90th $68 to $417Professionalmedian $68 · 10th to 90th $46 to $123
$50$100$200$500$1K$2K$5Kfacility $135professional $68

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
$67.61
Median
$70.79
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$33.88
Typical High
$35.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$14.13
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$416.87
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$64.57
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$134.90
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$89.13
Typical High
$128.82
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$109.65
Typical High
$109.65
Geisinger
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Geisinger
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$131.83
Typical High
$208.93
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$33.88
Typical High
$35.48
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$14.13
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$204.17
Typical High
$416.87
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$102.33

Where Pennsylvania 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.

Pennsylvania· 40th of 51

$67.61

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.