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Targeted Gene Sequencing Analysis

Ohio 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?

$240

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $457 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$120 to $295
FacilityA hospital or hospital-owned outpatient department$457$316 to $661

How much rates vary

Facilitymedian $457 · 10th to 90th $275 to $1,202Professionalmedian $162 · 10th to 90th $120 to $562
$100$200$500$1Kfacility $457professional $162

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
$302.00
Median
$724.44
Typical High
$1,288.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$331.13
Typical High
$645.65
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$131.83
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$912.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$120.23
Typical High
$457.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$47.86
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$346.74
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$416.87
CareSource
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$389.05
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$537.03
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$398.11
Typical High
$1,479.11
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$537.03
Molina
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$269.15
Typical High
$371.54
SummaCare
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$371.54
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$269.15
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$426.58

Where Ohio 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.

Ohio· 41st of 51

$240

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.