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Hereditary Cancer RNA Add-On, 18 Genes

Virginia rates for HCPCS 0134U

Adds RNA analysis of eighteen genes linked to inherited cancer risk across several cancer types to a main genetic test. It is the broadest of the related RNA add-ons, which cover smaller sets of genes focused on particular cancers.

Rates data updated July 2026.

How much does Hereditary Cancer RNA Add-On, 18 Genes cost?

$631

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,122 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$562$339 to $631
FacilityA hospital or hospital-owned outpatient department$1,122$741 to $1,660

How much rates vary

Facilitymedian $1,122 · 10th to 90th $631 to $3,162Professionalmedian $562 · 10th to 90th $339 to $1,023
$500$1K$2K$5Kfacility $1,122professional $562

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
$630.96
Median
$1,584.89
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,890.45
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,548.82
Sentara
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$851.14

Where Virginia sits

The same service costs 4.3 times more in Alaska than in Delaware. 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.

Virginia· 42nd of 51

$631

AK $1,698DE $398

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.