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Full Gene Test For Inherited Tumor Risk

South Dakota 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?

$692

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $676 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$692$537 to $1,148
FacilityA hospital or hospital-owned outpatient department$676$676 to $1,148

How much rates vary

Facilitymedian $676 · 10th to 90th $562 to $1,148Professionalmedian $692 · 10th to 90th $309 to $1,445
$500$1K$2Kfacility $676professional $692

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
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$676.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,148.15
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$676.08
Typical High
$707.95
Medica
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$537.03
Typical High
$1,096.48
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,412.54
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56

Where South Dakota 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.

South Dakota· 10th of 51

$692

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.