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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.

Facilitymedian $525 · 10th–90th $257$8710%10%20%10th90th$525Professionalmedian $240 · 10th–90th $120$5250%10%10th90th$240$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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