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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 October 2026.

How much does Full Gene Test For Inherited Tumor Risk cost?

$603

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,175 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$513$302 to $871
FacilityA hospital or hospital-owned outpatient department$1,175$501 to $1,479

How much rates vary

Facilitymedian $1,175 · 10th to 90th $490 to $1,820Professionalmedian $513 · 10th to 90th $251 to $1,122
$200$500$1K$2Kfacility $1,175professional $513

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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$489.78
Typical High
$512.86
CareSource
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$724.44
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,202.26
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$851.14
Typical High
$2,884.03
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$302.00
Typical High
$1,122.02

Where West Virginia 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.

West Virginia· 23rd of 51

$603

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.