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Repeat Expansion Test, Inherited Ataxia

West 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 October 2026.

How much does Repeat Expansion Test, Inherited Ataxia cost?

$135

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $269 from a hospital or other facility.

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$112$69.18 to $200
FacilityA hospital or hospital-owned outpatient department$269$135 to $339

How much rates vary

Facilitymedian $269 · 10th to 90th $112 to $407Professionalmedian $112 · 10th to 90th $58 to $257
$50$100$200$500facility $269professional $112

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
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$112.20
Typical High
$117.49
CareSource
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$269.15
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$194.98
Typical High
$660.69
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$69.18
Typical High
$257.04

Where West Virginia sits

The same service costs 4.9 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.

West Virginia· 26th of 51

$135

AK $309AL $63.10

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.