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Targeted Genetic Change Analysis

Montana 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.

How much does Targeted Genetic Change Analysis cost?

$200

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $219 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$138 to $324
FacilityA hospital or hospital-owned outpatient department$219$178 to $417

How much rates vary

Facilitymedian $219 · 10th to 90th $170 to $851Professionalmedian $200 · 10th to 90th $58 to $912
$100$1K$10K$100Kfacility $219professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$199.53
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$851.14
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$426.58
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04

Where Montana sits

The same service costs 4.8 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 4th of 51

$200

AK $309VT $64.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.