go back

Targeted Genetic Analysis of a Known Change

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $479 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$100$100 to $126
FacilityA hospital or hospital-owned outpatient department$479$191 to $912

How much rates vary

Facilitymedian $479 · 10th to 90th $100 to $1,905Professionalmedian $100 · 10th to 90th $91 to $174
$100$500$2K$10Kfacility $479professional $100

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
$588.84
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$288.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$158.49

Where New Jersey 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.

New Jersey· 37th 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.