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Targeted Genetic Analysis of a Known Change

Montana 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 October 2026.

How much does Targeted Genetic Analysis of a Known Change cost?

$219

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $257 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$135 to $219
FacilityA hospital or hospital-owned outpatient department$257$224 to $282

How much rates vary

Facilitymedian $257 · 10th to 90th $200 to $355Professionalmedian $200 · 10th to 90th $63 to $269
$100$200$500$1Kfacility $257professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$933.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$257.04
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$257.04
Typical High
$275.42
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$851.14
Providence
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$151.36

Where Montana sits

The same service costs 5.4 times more in Alaska than in Alabama. 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.

Montana· 4th of 51

$219

AK $339AL $63.10

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.