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Targeted Gene Sequencing Analysis

New York 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 York, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $525 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 9 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$240$170 to $331
FacilityA hospital or hospital-owned outpatient department$525$316 to $776

How much rates vary

Facilitymedian $525 · 10th to 90th $257 to $871Professionalmedian $240 · 10th to 90th $120 to $525
$100$200$500$1K$2Kfacility $525professional $240

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
$257.04
Median
$537.03
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$467.74
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$302.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$645.65
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$1,445.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$1,148.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$575.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$537.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$389.05
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$467.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$724.44

Where New York 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 York· 22nd 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.