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Targeted Gene Sequencing Analysis

Nebraska 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?

$447

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $490 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$200$200 to $794
FacilityA hospital or hospital-owned outpatient department$490$427 to $676

How much rates vary

Facilitymedian $490 · 10th to 90th $214 to $794Professionalmedian $200 · 10th to 90th $182 to $1,995
$100$200$500$1K$2Kfacility $490professional $200

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
$426.58
Median
$562.34
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$457.09
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$831.76

Where Nebraska 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.

Nebraska· 3rd of 51

$447

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.