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Family Change In A DNA Repair Gene

Illinois rates for HCPCS 81299

Checks whether a person carries the one specific inherited change that has already been pinpointed in their family, within a gene the body relies on to correct copying mistakes as cells divide. When that repair system is faulty, mistakes accumulate and cancer risk rises.

Rates data updated July 2026.

How much does Family Change In A DNA Repair Gene cost?

$263

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $490 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$251$191 to $295
FacilityA hospital or hospital-owned outpatient department$490$316 to $617

How much rates vary

Facilitymedian $490 · 10th to 90th $263 to $851Professionalmedian $251 · 10th to 90th $3 to $537
$10.0$100.0$1.0Kfacility $490professional $251

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
$251.19
Median
$478.63
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$251.19
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,071.52
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$213.80
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$645.65
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$354.81
Typical High
$524.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$691.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$309.03

Where Illinois sits

The same service costs 6.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $263 · 28th of 51
AK $692VT $112

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.