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Targeted Genetic Analysis of a Known Change

West Virginia 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?

$123

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $224 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$120$112 to $129
FacilityA hospital or hospital-owned outpatient department$224$148 to $676

How much rates vary

Facilitymedian $224 · 10th to 90th $123 to $676Professionalmedian $120 · 10th to 90th $100 to $129
$100$200$500$1Kfacility $224professional $120

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
$123.03
Median
$223.87
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$446.68
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$165.96

Where West Virginia 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.

West Virginia· 40th of 51

$123

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.