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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 October 2026.

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

$120

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $200 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$60.26 to $135
FacilityA hospital or hospital-owned outpatient department$200$158 to $275

How much rates vary

Facilitymedian $200 · 10th to 90th $138 to $617Professionalmedian $81 · 10th to 90th $60 to $240
$100$200$500$1Kfacility $200professional $81

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
$141.25
Median
$323.59
Typical High
$676.08
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$165.96
Typical High
$331.13
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$66.07
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$60.26
Typical High
$194.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$23.99
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$173.78
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$199.53
CareSource
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$194.98
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$269.15
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$199.53
Typical High
$1,819.70
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$134.90
Typical High
$186.21
SummaCare
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$239.88
United
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$134.90
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$91.20
Typical High
$213.80

Where Ohio 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.

Ohio· 39th of 51

$120

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.