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Full Gene Test For Inherited Tumor Risk

Georgia rates for HCPCS 81321

A laboratory test that reads the entire sequence of a single gene from a blood sample, looking for inherited changes linked to a higher risk of tumors. Reading the whole gene picks up changes anywhere along it, not only at the spots a shorter test checks.

Rates data updated July 2026.

How much does Full Gene Test For Inherited Tumor Risk cost?

$575

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $813 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 7 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$537$398 to $661
FacilityA hospital or hospital-owned outpatient department$813$603 to $1,096

How much rates vary

Facilitymedian $813 · 10th to 90th $479 to $1,445Professionalmedian $537 · 10th to 90th $302 to $1,023
$200$500$1K$2Kfacility $813professional $537

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
$398.11
Median
$812.83
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$602.56
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,318.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$776.25

Where Georgia sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Georgia· 32nd of 51

$575

AK $1,349MD $447

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.