Targeted Gene Sequencing Analysis

Delaware 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 October 2026.

How much does Targeted Gene Sequencing Analysis cost?

$204

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $617 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$182	$135 to $251
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$617	$251 to $724

How much rates vary

Facilitymedian $617 · 10th to 90th $195 to $1,585Professionalmedian $182 · 10th to 90th $126 to $457

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $660.69	Facility	None	$251.19	$251.19	$660.69
Aetna Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $251.19	Professional	None	$173.78	$251.19	$251.19
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $1,584.89	Facility	None	$194.98	$194.98	$1,584.89
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $1,445.44	Professional	None	$199.53	$199.53	$1,445.44
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $724.44	Facility	None	$380.19	$616.60	$724.44
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $457.09	Professional	None	$125.89	$181.97	$457.09

Where Delaware sits

The same service costs 3.9 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.

Delaware· 49th of 51

$204

AK $676AL $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.