go back

Targeted Gene Sequencing Analysis

Maine 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?

$245

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $380 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$182 to $275
FacilityA hospital or hospital-owned outpatient department$380$295 to $447

How much rates vary

Facilitymedian $380 · 10th to 90th $288 to $1,288Professionalmedian $182 · 10th to 90th $151 to $437
$200$500$1K$2Kfacility $380professional $182

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$398.11
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$181.97
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$302.00
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$524.81

Where Maine 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.

Maine· 37th of 51

$245

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.