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Targeted Analysis of a Single Gene

Massachusetts 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 $102 · 10th–90th $71$1660%20%10th90th$102Professionalmedian $51 · 10th–90th $32$1290%20%10th90th$51$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$70.79
Median
$114.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$154.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$416.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$144.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$87.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$93.33
Health New England
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,071.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$416.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$114.82