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Targeted Genetic Analysis of a Known Change

Ohio 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?

$129

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $209 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$120$79.43 to $145
FacilityA hospital or hospital-owned outpatient department$209$151 to $331

How much rates vary

Facilitymedian $209 · 10th to 90th $123 to $603Professionalmedian $120 · 10th to 90th $60 to $331
$100$200$500facility $209professional $120

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
$120.23
Median
$269.15
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$338.84
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$870.96
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$162.18
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$208.93

Where Ohio 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.

Ohio· 34th of 51

$129

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.