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Targeted Genetic Analysis of a Known Change

Illinois 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?

$123

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $240 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 5 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$100 to $135
FacilityA hospital or hospital-owned outpatient department$240$155 to $309

How much rates vary

Facilitymedian $240 · 10th to 90th $129 to $407Professionalmedian $115 · 10th to 90th $3 to $251
$5$20$100$500facility $240professional $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
$123.03
Median
$234.42
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$524.81
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$104.71
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$181.97
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$354.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$151.36

Where Illinois 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.

Illinois· 39th of 51

$123

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.