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Targeted Genetic Change Analysis

Massachusetts 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 $269 · 10th–90th $138$4370%10%20%10th90th$269Professionalmedian $138 · 10th–90th $65$3310%20%40%10th90th$138$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
$64.57
Median
$257.04
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$338.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$398.11
Typical High
$645.65
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$354.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$229.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$398.11
Typical High
$645.65
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$398.11
Tufts
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$275.42