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Targeted Analysis of a Single Gene

New Jersey 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 July 2026.

Facilitymedian $257 · 10th–90th $66$5750%10%20%10th90th$257Professionalmedian $43 · 10th–90th $32$2190%20%10th90th$43$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$67.61
Median
$295.12
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$154.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$97.72
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$53.70