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Targeted Analysis of a Single Gene

Washington, DC rates for HCPCS 81255

A laboratory test that examines one specific gene in a blood or tissue sample, checking a defined set of positions within it for changes. The result is interpreted together with family history, ancestry where relevant, and any other testing that has been done.

Rates data updated October 2026.

How much does Targeted Analysis of a Single Gene cost?

$42.66

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $38.90 to $58.88.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $87 · 10th to 90th $39 to $195Professionalmedian $43 · 10th to 90th $23 to $224
$20$50$100$200facility $87professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.90
Typical High
$38.90
CareFirst
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$46.77
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$87.10
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$114.82
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$104.71
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$61.66

Where Washington, DC sits

The same service costs 6.0 times more in California than in Oklahoma. 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.

Washington, DC· 41st of 51

$42.66

CA $186OK $30.90

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.