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Targeted Genetic Analysis of a Known Change

Colorado rates for HCPCS 81402

A laboratory analysis of DNA or RNA that checks a sample for specific, already-known genetic changes rather than reading a gene from end to end. Which gene is examined depends on the condition being investigated; services grouped together here share the amount and difficulty of the laboratory work rather than a single disease.

Rates data updated July 2026.

How much does Targeted Genetic Analysis of a Known Change cost?

$162

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $363 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 7 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$115$95.50 to $123
FacilityA hospital or hospital-owned outpatient department$363$200 to $631

How much rates vary

Facilitymedian $363 · 10th to 90th $115 to $759Professionalmedian $115 · 10th to 90th $63 to $162
$100$200$500$1Kfacility $363professional $115

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
$95.50
Median
$331.13
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$218.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$91.20

Where Colorado sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Colorado· 13th of 51

$162

AK $339DE $100

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.