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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 October 2026.

How much does Targeted Analysis of a Single Gene cost?

$72.44

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $100 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$50.12 to $107
FacilityA hospital or hospital-owned outpatient department$100$83.18 to $107

How much rates vary

Facilitymedian $100 · 10th to 90th $74 to $229Professionalmedian $62 · 10th to 90th $44 to $112
$50$100$200facility $100professional $62

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$95.50
Typical High
$107.15
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$229.09
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$138.04

Where Rhode Island 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.

Rhode Island· 36th of 51

$72.44

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.