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Full Gene Test For Inherited Tumor Risk

Ohio 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?

$575

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $759 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$468 to $741
FacilityA hospital or hospital-owned outpatient department$759$617 to $1,023

How much rates vary

Facilitymedian $759 · 10th to 90th $550 to $1,349Professionalmedian $550 · 10th to 90th $275 to $1,148
$500$1K$2Kfacility $759professional $550

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
$562.34
Median
$1,071.52
Typical High
$1,513.56
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$537.03
Typical High
$758.58
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$112.20
Median
$213.80
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$239.88
Typical High
$645.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$95.50
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$691.83
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$1,122.02
CareSource
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$724.44
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$1,071.52
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$794.33
Typical High
$2,454.71
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$537.03
Typical High
$741.31
SummaCare
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$741.31
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$537.03
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$851.14

Where Ohio 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.

Ohio· 31st of 51

$575

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.