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Targeted Gene Sequencing Analysis

Utah 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?

$234

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $324 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$174 to $302
FacilityA hospital or hospital-owned outpatient department$324$174 to $363

How much rates vary

Facilitymedian $324 · 10th to 90th $174 to $1,096Professionalmedian $209 · 10th to 90th $126 to $457
$100$200$500$1Kfacility $324professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$281.84
Typical High
$371.54
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$323.59
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$309.03
Typical High
$549.54
Molina
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$234.42
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$346.74
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$338.84
Select Health
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$331.13
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$181.97

Where Utah 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.

Utah· 42nd of 51

$234

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.