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Targeted Gene Sequencing Analysis

Washington, DC 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?

$224

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $363 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$224$224 to $234
FacilityA hospital or hospital-owned outpatient department$363$224 to $708

How much rates vary

Facilitymedian $363 · 10th to 90th $224 to $708Professionalmedian $224 · 10th to 90th $219 to $479
$200$500$1K$2Kfacility $363professional $224

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
$223.87
Median
$223.87
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$660.69
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$389.05
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$363.08
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$281.84

Where Washington, DC 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.

Washington, DC· 46th of 51

$224

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.