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PALB2 Gene Test

North Carolina rates for HCPCS 81308

A genetic test that examines the PALB2 gene, changes in which raise a person's lifetime risk of breast cancer and some other cancers. It is used in families where an inherited cancer risk is suspected or has already been identified.

Rates data updated July 2026.

How much does PALB2 Gene Test cost?

$257

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $288 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 6 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$257$240 to $316
FacilityA hospital or hospital-owned outpatient department$288$257 to $501

How much rates vary

Facilitymedian $288 · 10th to 90th $240 to $1,000Professionalmedian $257 · 10th to 90th $200 to $479
$10.0$50.0$200.0$1.0Kfacility $288professional $257

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
$239.88
Median
$263.03
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$660.69
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$316.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,238.72

Where North Carolina sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $257 · 33rd of 51
AK $676DE $204

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.