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Targeted Gene Sequencing Analysis

Vermont 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?

$302

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $603 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$174 to $372
FacilityA hospital or hospital-owned outpatient department$603$501 to $617

How much rates vary

Facilitymedian $603 · 10th to 90th $302 to $676Professionalmedian $302 · 10th to 90th $174 to $661
$200$500$1Kfacility $603professional $302

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
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$457.09
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$363.08
Typical High
$676.08
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$346.74
Typical High
$660.69

Where Vermont 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.

Vermont· 23rd of 51

$302

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.