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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 October 2026.

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

$105

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $1,202 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$91.20 to $105
FacilityA hospital or hospital-owned outpatient department$1,202$309 to $15,488

How much rates vary

Facilitymedian $1,202 · 10th to 90th $100 to $21,878Professionalmedian $100 · 10th to 90th $72 to $129
$100$500$2K$10Kfacility $1,202professional $100

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
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$50.12
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$19.95
Typical High
$25.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$416.87
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$162.18
Typical High
$223.87
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$194.98
Typical High
$218.78
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$151.36

Where New Jersey 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.

New Jersey· 45th of 51

$105

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.