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Full Gene Test For Inherited Tumor Risk

Utah 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?

$479

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $692 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 6 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$468$457 to $525
FacilityA hospital or hospital-owned outpatient department$692$457 to $1,202

How much rates vary

Facilitymedian $692 · 10th to 90th $457 to $1,202Professionalmedian $468 · 10th to 90th $275 to $661
$500$1K$2Kfacility $692professional $468

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
$457.09
Median
$457.09
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$616.60
Typical High
$1,288.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$2,454.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Utah sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Utah· 45th of 51

$479

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.