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Targeted Analysis of a Single Gene

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $398 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$83.18$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$398$107 to $575

How much rates vary

Facilitymedian $398 · 10th to 90th $95 to $759Professionalmedian $83 · 10th to 90th $38 to $117
$50.0$100.0$200.0$500.0facility $398professional $83

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
$107.15
Median
$575.44
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$85.11
Typical High
$177.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$117.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$87.10

Where Utah 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.

Utah $107 · 9th 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.