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Targeted Analysis of a Single Gene

South Carolina 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?

$66.07

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $155 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 5 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$64.57$64.57 to $67.61
FacilityA hospital or hospital-owned outpatient department$155$64.57 to $263

How much rates vary

Facilitymedian $155 · 10th to 90th $65 to $398Professionalmedian $65 · 10th to 90th $50 to $87
$50$100$200$500facility $155professional $65

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
$57.54
Median
$204.17
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$125.89
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
$46.77
Typical High
$87.10

Where South Carolina 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.

South Carolina· 49th of 51

$66.07

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.