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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 July 2026.

How much does Targeted Gene Sequencing Analysis cost?

$269

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $407 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 8 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$158 to $295
FacilityA hospital or hospital-owned outpatient department$407$302 to $631

How much rates vary

Facilitymedian $407 · 10th to 90th $245 to $1,202Professionalmedian $240 · 10th to 90th $120 to $661
$100$200$500$1Kfacility $407professional $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
$239.88
Median
$457.09
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$407.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$426.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$676.08
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$1,479.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$331.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$416.87

Where Ohio 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.

Ohio· 31st of 51

$269

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.