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Full Gene Test For Inherited Tumor Risk

New Jersey 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?

$417

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $7,762 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$363 to $457
FacilityA hospital or hospital-owned outpatient department$7,762$1,413 to $17,378

How much rates vary

Facilitymedian $7,762 · 10th to 90th $661 to $23,988Professionalmedian $417 · 10th to 90th $295 to $603
$200$500$1K$2K$5K$10K$20Kfacility $7,762professional $417

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
$398.11
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$457.09
Typical High
$501.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$229.09
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$91.20
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,659.59
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$645.65
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$794.33
Typical High
$870.96
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where New Jersey 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.

New Jersey· 49th of 51

$417

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.