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Targeted Analysis of a Single Gene

Illinois 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.

Facilitymedian $89 · 10th–90th $51$1550%10%10th90th$89Professionalmedian $41 · 10th–90th $21$930%20%10th90th$41$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$181.97
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$35.48
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$63.10
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$131.83
Typical High
$380.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$51.29