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Full Gene Test For Inherited Tumor Risk

New Mexico 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?

$724

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $2,291 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 5 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$490$447 to $724
FacilityA hospital or hospital-owned outpatient department$2,291$1,072 to $4,365

How much rates vary

Facilitymedian $2,291 · 10th to 90th $537 to $6,026Professionalmedian $490 · 10th to 90th $251 to $3,981
$200.0$1.0K$5.0K$20.0Kfacility $2,291professional $490

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
$891.25
Median
$1,819.70
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,890.45
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$537.03
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$478.63

Where New Mexico sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $724 · 11th of 51
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.