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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 October 2026.

How much does Targeted Gene Sequencing Analysis cost?

$282

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $1,514 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$224$126 to $282
FacilityA hospital or hospital-owned outpatient department$1,514$708 to $1,862

How much rates vary

Facilitymedian $1,514 · 10th to 90th $269 to $2,399Professionalmedian $224 · 10th to 90th $126 to $398
$200$500$1K$2Kfacility $1,514professional $224

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
$223.87
Median
$977.24
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$363.08
Typical High
$363.08
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,621.81
Typical High
$2,511.89
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$269.15
Typical High
$691.83
Molina
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Providence
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Providence
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$398.11
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
None
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 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.

New Mexico· 31st of 51

$282

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.