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Targeted Genetic Analysis of a Known Change

South Carolina 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?

$120

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $275 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 5 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$117$117 to $132
FacilityA hospital or hospital-owned outpatient department$275$117 to $479

How much rates vary

Facilitymedian $275 · 10th to 90th $117 to $708Professionalmedian $117 · 10th to 90th $91 to $158
$100$200$500$1Kfacility $275professional $117

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
$104.71
Median
$371.54
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$181.97
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$199.53
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
$151.36

Where South Carolina 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.

South Carolina· 41st of 51

$120

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.