go back

Targeted Gene Sequencing Analysis

Montana 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?

$407

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $457 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 6 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$380$195 to $457
FacilityA hospital or hospital-owned outpatient department$457$389 to $708

How much rates vary

Facilitymedian $457 · 10th to 90th $380 to $1,698Professionalmedian $380 · 10th to 90th $141 to $1,023
$200$1K$5K$20K$100Kfacility $457professional $380

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
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$933.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00

Where Montana 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.

Montana· 4th of 51

$407

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.