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Family Change In A DNA Repair Gene

Connecticut rates for HCPCS 81318

Tests a person for the one specific inherited change that has already been identified in their family, in a gene the body uses to correct copying errors when cells divide. When that repair system is faulty, errors build up and the risk of bowel, uterine, and certain other cancers rises.

Rates data updated October 2026.

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

$186

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $132 to $380.

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.

How much rates vary

Facilitymedian $331 · 10th to 90th $100 to $813Professionalmedian $170 · 10th to 90th $83 to $447
$100$200$500$1Kfacility $331professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$123.03
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$309.03
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$169.82
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$331.13
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$363.08
Typical High
$741.31
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$389.05
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$199.53
Typical High
$426.58
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$61.66
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$24.55
Typical High
$25.70

Where Connecticut sits

The same service costs 6.5 times more in Texas than in Kentucky. 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.

Connecticut· 48th of 51

$186

TX $1,023KY $158

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.