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Targeted Genetic Analysis of a Known Change

Florida 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?

$107

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $275 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 8 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$105$100 to $123
FacilityA hospital or hospital-owned outpatient department$275$135 to $427

How much rates vary

Facilitymedian $275 · 10th to 90th $112 to $741Professionalmedian $105 · 10th to 90th $91 to $151
$10$20$50$100$200$500$1Kfacility $275professional $105

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
$112.20
Median
$204.17
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
AvMed
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$177.83
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$269.15
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$199.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$151.36

Where Florida 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.

Florida· 47th of 51

$107

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.