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Repeat Expansion Test, Inherited Ataxia

Virginia rates for HCPCS 81181

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?

$117

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $145 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$102$61.66 to $117
FacilityA hospital or hospital-owned outpatient department$145$138 to $302

How much rates vary

Facilitymedian $145 · 10th to 90th $117 to $617Professionalmedian $102 · 10th to 90th $55 to $224
$10.0$100.0$1.0K$10.0Kfacility $145professional $102

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
$102.33
Median
$288.40
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$190.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$288.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$158.49

Where 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.

Virginia $117 · 34th 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.