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Full Gene Test For Inherited Tumor Risk

Michigan 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?

$562

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $575 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$562$447 to $603
FacilityA hospital or hospital-owned outpatient department$575$575 to $776

How much rates vary

Facilitymedian $575 · 10th to 90th $447 to $1,122Professionalmedian $562 · 10th to 90th $363 to $724
$10$20$50$100$200$500$1Kfacility $575professional $562

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
$575.44
Median
$575.44
Typical High
$891.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$588.84
Typical High
$707.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$275.42
Median
$295.12
Typical High
$302.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$109.65
Median
$117.49
Typical High
$120.23
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$676.08
Typical High
$1,148.15
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$446.68
Typical High
$446.68
CareSource
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$660.69
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$363.08
Typical High
$812.83
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$1,513.56
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$776.25
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Priority Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$602.56
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$537.03
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Michigan 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.

Michigan· 33rd of 51

$562

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.