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Targeted Analysis of a Single Gene

Rhode Island 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?

$107

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $182 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 4 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$107$61.66 to $107
FacilityA hospital or hospital-owned outpatient department$182$100 to $417

How much rates vary

Facilitymedian $182 · 10th to 90th $95 to $661Professionalmedian $107 · 10th to 90th $52 to $107
$50$100$200$500facility $182professional $107

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
$100.00
Median
$416.87
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$48.98
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$120.23

Where Rhode Island 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.

Rhode Island· 11th of 51

$107

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.