go back

Targeted Analysis of a Single Gene

Kansas 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 $43$1550%20%10th90th$89Professionalmedian $44 · 10th–90th $33$1050%10%10th90th$44$10.0$20.0$50.0$100.0$200.0

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
$50.12
Median
$93.33
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$93.33
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$48.98
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$51.29