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Targeted Genetic Change Analysis

South Dakota 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 $263 · 10th–90th $155$2630%50%10th$263Professionalmedian $204 · 10th–90th $69$3310%20%10th90th$204$50.0$100.0$200.0$500.0

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
$95.50
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$199.53
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$691.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$181.97
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04