go back

Targeted Gene Sequencing Analysis

Arizona rates for HCPCS 81405

This laboratory analysis examines the DNA sequence of a specific gene associated with an inherited condition, looking for changes that could explain a patient's symptoms or family history. It is one of many single-gene analyzes available, each ordered based on the particular condition being evaluated. Results help confirm a diagnosis or guide further testing and family counseling.

Rates data updated July 2026.

How much does Targeted Gene Sequencing Analysis cost?

$240

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $891 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$204$174 to $240
FacilityA hospital or hospital-owned outpatient department$891$355 to $1,202

How much rates vary

Facilitymedian $891 · 10th to 90th $234 to $1,318Professionalmedian $204 · 10th to 90th $135 to $813
$200$500$1K$2Kfacility $891professional $204

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
$354.81
Median
$1,096.48
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$870.96
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$295.12
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00

Where Arizona sits

The same service costs 3.9 times more in Alaska than in Vermont. 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.

Arizona· 43rd of 51

$240

AK $676VT $174

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.