go back

Full Gene Test For Inherited Tumor Risk

West 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?

$490

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $759 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 4 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$479$447 to $513
FacilityA hospital or hospital-owned outpatient department$759$490 to $891

How much rates vary

Facilitymedian $759 · 10th to 90th $490 to $1,175Professionalmedian $479 · 10th to 90th $398 to $513
$500$1K$2Kfacility $759professional $479

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
$489.78
Median
$758.58
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,202.26
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$660.69

Where West 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.

West Virginia· 42nd of 51

$490

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.