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Targeted Gene Sequencing Analysis

West Virginia 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?

$245

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $380 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 5 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$224 to $257
FacilityA hospital or hospital-owned outpatient department$380$245 to $457

How much rates vary

Facilitymedian $380 · 10th to 90th $245 to $741Professionalmedian $240 · 10th to 90th $204 to $257
$200$500$1Kfacility $380professional $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
$245.47
Median
$380.19
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,445.44
Typical High
$1,445.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$331.13

Where West Virginia 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.

West Virginia· 39th of 51

$245

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.