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Full Gene Test For Inherited Tumor Risk

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $724 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$363 to $603
FacilityA hospital or hospital-owned outpatient department$724$603 to $776

How much rates vary

Facilitymedian $724 · 10th to 90th $537 to $1,660Professionalmedian $447 · 10th to 90th $316 to $1,000
$500$1Kfacility $724professional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$776.25
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$446.68
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$1,000.00

Where Rhode Island 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.

Rhode Island· 44th 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.