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Targeted Genetic Analysis of a Known Change

Utah 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?

$100

Typical negotiated rate. In Utah, October 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 $162 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$91.20 to $141
FacilityA hospital or hospital-owned outpatient department$162$100 to $182

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $550Professionalmedian $100 · 10th to 90th $63 to $224
$100$200$500facility $162professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$162.18
Typical High
$208.93
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$64.57
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$154.88
Typical High
$275.42
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$354.81
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Select Health
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$165.96
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$91.20
Typical High
$91.20

Where Utah 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.

Utah· 49th of 51

$100

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.