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Targeted Gene Sequencing Analysis

Idaho 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?

$316

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $468 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$257 to $457
FacilityA hospital or hospital-owned outpatient department$468$302 to $631

How much rates vary

Facilitymedian $468 · 10th to 90th $295 to $1,072Professionalmedian $309 · 10th to 90th $126 to $589
$100$200$500$1Kfacility $468professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$588.84
Typical High
$588.84
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$457.09
Typical High
$1,047.13
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$302.00
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$346.74
Typical High
$588.84
Molina
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$263.03
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$457.09
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$457.09
Typical High
$575.44
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$676.08
Typical High
$1,096.48
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
Select Health
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
Select Health
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$478.63
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$208.93
Median
$213.80
Typical High
$213.80

Where Idaho 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.

Idaho· 19th of 51

$316

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.