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Targeted Genetic Analysis of a Known Change

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $302 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$151$100 to $151
FacilityA hospital or hospital-owned outpatient department$302$219 to $427

How much rates vary

Facilitymedian $302 · 10th to 90th $151 to $479Professionalmedian $151 · 10th to 90th $100 to $347
$100$200$500$1K$2K$5Kfacility $302professional $151

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
$263.03
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$446.68
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$436.52
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$389.05
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$257.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$436.52
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$302.00

Where Massachusetts 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.

Massachusetts· 19th 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.