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Targeted Analysis of a Single Gene

New York rates for HCPCS 81260

A laboratory test that examines one specific gene in a sample of blood or tissue to see whether a change is present at defined positions within it. The result is read together with the clinical picture, family history and any other testing.

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $39$1070%10%10th90th$69Professionalmedian $35 · 10th–90th $16$980%20%10th90th$35$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$38.90
Median
$69.18
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$66.07
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$38.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$85.11
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$54.95
Typical High
$190.55
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.11
Typical High
$74.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$70.79
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$74.13
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$36.31
Typical High
$112.20
Univera
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Univera
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$93.33