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Full Gene Test For Inherited Tumor Risk

Virginia 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?

$537

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $708 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 8 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$447$282 to $525
FacilityA hospital or hospital-owned outpatient department$708$603 to $1,479

How much rates vary

Facilitymedian $708 · 10th to 90th $513 to $2,692Professionalmedian $447 · 10th to 90th $240 to $1,148
$200$500$1K$2K$5K$10Kfacility $708professional $447

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
$512.86
Median
$1,318.26
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$1,479.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,412.54
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,479.11
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$1,258.93
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$691.83

Where Virginia 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.

Virginia· 35th of 51

$537

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.