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Targeted Genetic Analysis of a Known Change

Iowa 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?

$151

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $229 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$132$115 to $288
FacilityA hospital or hospital-owned outpatient department$229$151 to $398

How much rates vary

Facilitymedian $229 · 10th to 90th $115 to $437Professionalmedian $132 · 10th to 90th $91 to $1,000
$100$200$500$1Kfacility $229professional $132

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
$114.82
Median
$309.03
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$602.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$380.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where Iowa 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.

Iowa· 22nd of 51

$151

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.