go back

Targeted Genetic Change Analysis

North Carolina 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 $295 · 10th–90th $112$7240%10%20%10th90th$295Professionalmedian $120 · 10th–90th $91$8910%20%10th90th$120$10.0$50.0$200.0$1.0K

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
$117.49
Median
$416.87
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$302.00
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$181.97
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$162.18
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$144.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,023.29