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Full Sequencing Of Breast Cancer Risk Gene

West Virginia rates for HCPCS 81307

A laboratory test that reads the complete sequence of a gene linked to an inherited increase in the risk of breast and pancreatic cancer. Reading the whole gene lets the laboratory find changes anywhere along it, rather than only at known spots. Results guide screening decisions and can matter for blood relatives.

Rates data updated July 2026.

How much does Full Sequencing Of Breast Cancer Risk Gene cost?

$537

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $851 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 4 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$525$457 to $550
FacilityA hospital or hospital-owned outpatient department$851$550 to $1,023

How much rates vary

Facilitymedian $851 · 10th to 90th $550 to $1,318Professionalmedian $525 · 10th to 90th $240 to $575
$200$500$1K$2Kfacility $851professional $525

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
$549.54
Median
$851.14
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
CareSource
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,584.89
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$338.84

Where West Virginia sits

The same service costs 7.2 times more in Alaska than in Rhode Island. 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· 35th of 51

$537

AK $1,514RI $209

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.