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Repeat Expansion Test, Inherited Ataxia

West Virginia rates for HCPCS 81178

A laboratory test on a blood sample that measures a short stretch of DNA that is normally repeated a set number of times within a single gene. An abnormally high number of repeats causes an inherited disorder of balance, coordination and speech that develops gradually over years. The test is used to confirm a diagnosis in someone with symptoms, or to test a relative of an affected person.

Rates data updated July 2026.

How much does Repeat Expansion Test, Inherited Ataxia cost?

$112

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $170 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$110$102 to $117
FacilityA hospital or hospital-owned outpatient department$170$112 to $204

How much rates vary

Facilitymedian $170 · 10th to 90th $112 to $269Professionalmedian $110 · 10th to 90th $91 to $117
$50.0$100.0$200.0$500.0facility $170professional $110

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
$112.20
Median
$169.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$117.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$660.69
Typical High
$660.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$151.36

Where West Virginia sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $112 · 40th of 51
AK $309DE $91.20

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.