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Targeted Analysis of a Single Gene

South Dakota 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?

$138

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $158 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 6 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$110$64.57 to $195
FacilityA hospital or hospital-owned outpatient department$158$158 to $158

How much rates vary

Facilitymedian $158 · 10th to 90th $93 to $158Professionalmedian $110 · 10th to 90th $56 to $200
$50.0$100.0$200.0facility $158professional $110

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
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$64.57
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$416.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$109.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18

Where South Dakota sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $138 · 3rd of 51
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.