go back

Targeted Genetic Analysis of a Known Change

Pennsylvania 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?

$141

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $234 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 9 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$123$100 to $141
FacilityA hospital or hospital-owned outpatient department$234$182 to $372

How much rates vary

Facilitymedian $234 · 10th to 90th $129 to $537Professionalmedian $123 · 10th to 90th $100 to $355
$100$200$500$1Kfacility $234professional $123

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
$128.82
Median
$229.09
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$537.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$194.98
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$331.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$229.09
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$537.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$478.63
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$223.87

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$141

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.