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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 October 2026.

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

$123

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $214 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$112 to $151
FacilityA hospital or hospital-owned outpatient department$214$151 to $437

How much rates vary

Facilitymedian $214 · 10th to 90th $123 to $708Professionalmedian $123 · 10th to 90th $91 to $224
$100$200$500$1K$2K$5Kfacility $214professional $123

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
$123.03
Median
$154.88
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$123.03
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$60.26
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$24.55
Typical High
$25.70
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$758.58
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$117.49
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$245.47
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$162.18
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$194.98
Typical High
$194.98
Geisinger
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Geisinger
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$190.55
Typical High
$331.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$316.23
Typical High
$436.52
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$128.82
Typical High
$436.52
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$123.03
Typical High
$128.82
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$60.26
Typical High
$64.57
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$24.55
Typical High
$25.70
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$281.84
Typical High
$398.11
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$91.20
Typical High
$181.97

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$123

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.