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Targeted Analysis of a Single Gene

Tennessee 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?

$70.79

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $148 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$66.07$61.66 to $83.18
FacilityA hospital or hospital-owned outpatient department$148$74.13 to $275

How much rates vary

Facilitymedian $148 · 10th to 90th $62 to $355Professionalmedian $66 · 10th to 90th $44 to $100
$20$50$100$200$500facility $148professional $66

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
$61.66
Median
$229.09
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$173.78
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$114.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$107.15

Where Tennessee 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.

Tennessee· 42nd of 51

$70.79

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.