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Targeted Genetic Analysis of a Known Change

Rhode Island 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?

$100

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $182 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 4 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$100$100 to $112
FacilityA hospital or hospital-owned outpatient department$182$174 to $288

How much rates vary

Facilitymedian $182 · 10th to 90th $151 to $871Professionalmedian $100 · 10th to 90th $95 to $151
$100$200$500facility $182professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$218.78

Where Rhode Island 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.

Rhode Island· 50th of 51

$100

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.