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Targeted Analysis of a Single Gene

Wisconsin 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 $107 · 10th–90th $43$1860%20%10th90th$107Professionalmedian $47 · 10th–90th $16$1350%10%20%10th90th$47$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
$46.77
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$162.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$123.03
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$165.96
Typical High
$251.19
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$112.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$112.20
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$128.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$186.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$194.98
Typical High
$194.98
Security Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.44
Typical High
$64.57