go back

Targeted Genetic Change Analysis

Wisconsin 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 $380 · 10th–90th $148$6460%20%10th90th$380Professionalmedian $148 · 10th–90th $55$4680%10%10th90th$148$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
$165.96
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$562.34
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$331.13
Typical High
$426.58
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$575.44
Typical High
$870.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$389.05
Network Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$389.05
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$407.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$457.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$645.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$691.83
Typical High
$691.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Security Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$245.47