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Targeted Genetic Analysis of a Known Change

Georgia 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?

$135

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $174 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 6 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$117$91.20 to $145
FacilityA hospital or hospital-owned outpatient department$174$126 to $204

How much rates vary

Facilitymedian $174 · 10th to 90th $100 to $275Professionalmedian $117 · 10th to 90th $60 to $245
$50$100$200$500facility $174professional $117

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
$100.00
Median
$138.04
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$245.47
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$151.36
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$1,174.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$194.98

Where Georgia 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.

Georgia· 30th of 51

$135

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.