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Targeted Gene Sequencing Analysis

New Mexico 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?

$363

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $977 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$269$224 to $363
FacilityA hospital or hospital-owned outpatient department$977$457 to $1,820

How much rates vary

Facilitymedian $977 · 10th to 90th $269 to $2,512Professionalmedian $269 · 10th to 90th $126 to $1,995
$100$500$2K$10K$50Kfacility $977professional $269

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
$363.08
Median
$912.01
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,659.59
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$380.19
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$181.97

Where New Mexico 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 Mexico· 7th of 51

$363

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.