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Targeted Analysis of a Single Gene

Virginia 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?

$77.62

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $97.72 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 8 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$61.66$39.81 to $74.13
FacilityA hospital or hospital-owned outpatient department$97.72$83.18 to $204

How much rates vary

Facilitymedian $98 · 10th to 90th $72 to $372Professionalmedian $62 · 10th to 90th $33 to $166
$50$200$1K$5Kfacility $98professional $62

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
$70.79
Median
$186.21
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$56.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$245.47
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$173.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$107.15

Where Virginia 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.

Virginia· 39th of 51

$77.62

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.