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Targeted Gene Sequencing Analysis

New Hampshire 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?

$302

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $575 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 5 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$302$195 to $302
FacilityA hospital or hospital-owned outpatient department$575$525 to $1,202

How much rates vary

Facilitymedian $575 · 10th to 90th $269 to $1,698Professionalmedian $302 · 10th to 90th $174 to $562
$200$500$1K$2Kfacility $575professional $302

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
$173.78
Median
$269.15
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,096.48
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$1,258.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$660.69

Where New Hampshire 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.

New Hampshire· 20th of 51

$302

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.