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Targeted Analysis of a Single Gene

West 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?

$67.61

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $105 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 4 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 $70.79
FacilityA hospital or hospital-owned outpatient department$105$67.61 to $126

How much rates vary

Facilitymedian $105 · 10th to 90th $68 to $162Professionalmedian $66 · 10th to 90th $56 to $71
$50$100$200facility $105professional $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
$67.61
Median
$104.71
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$70.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$91.20

Where West 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.

West Virginia· 46th of 51

$67.61

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.