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Targeted Genetic Analysis of a Known Change

Kentucky 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?

$105

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $151 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$102$60.26 to $123
FacilityA hospital or hospital-owned outpatient department$151$123 to $288

How much rates vary

Facilitymedian $151 · 10th to 90th $117 to $363Professionalmedian $102 · 10th to 90th $60 to $151
$50$100$200$500$1Kfacility $151professional $102

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
$117.49
Median
$123.03
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$151.36

Where Kentucky 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.

Kentucky· 48th of 51

$105

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.