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Targeted Genetic Change Analysis

Illinois rates for HCPCS 81401

This genetic test looks for a specific, well-defined change in a single gene, using a relatively straightforward testing method. It's used when a doctor or genetic counselor wants to check for one particular genetic change already known to be associated with a condition, often because it runs in the family or is common in a specific population. The gene involved doesn't have its own individually named test, so it's grouped by the complexity of the analysis performed.

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $117$3720%10%10th90th$214Professionalmedian $112 · 10th–90th $3$2510%10%20%10th90th$112$5.0$20.0$100.0$500.0$2.0K

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
$112.20
Median
$208.93
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$478.63
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$95.50
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$165.96
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$138.04