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Full Gene Test For Inherited Tumor Risk

Illinois 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 October 2026.

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

$457

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,122 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$309 to $513
FacilityA hospital or hospital-owned outpatient department$1,122$813 to $2,089

How much rates vary

Facilitymedian $1,122 · 10th to 90th $631 to $3,802Professionalmedian $457 · 10th to 90th $3 to $832
$10$100$1K$10Kfacility $1,122professional $457

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
Facility
Modifier
None
Typical Low
$489.78
Median
$933.25
Typical High
$1,819.70
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$245.47
Median
$436.52
Typical High
$912.01
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$173.78
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$537.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$245.47
Typical High
$269.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$97.72
Typical High
$107.15
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,047.13
Typical High
$7,585.78
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$416.87
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,258.93
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$741.31
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$831.76
Typical High
$1,258.93
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$724.44
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Illinois sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Illinois· 45th of 51

$457

AK $1,349NE $398

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.