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PTEN Large Deletion and Duplication Test

Delaware rates for HCPCS 81323

A genetic test that checks the PTEN gene for whole sections that are missing or present in extra copies. Faults in this gene cause an inherited condition marked by numerous noncancerous growths along with a raised risk of breast, thyroid and womb cancer. It looks for large blocks gained or lost rather than small single-letter spelling changes.

Rates data updated October 2026.

How much does PTEN Large Deletion and Duplication Test cost?

$182

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $66.07 to $251.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $251 · 10th to 90th $195 to $501Professionalmedian $182 · 10th to 90th $37 to $447
$50$100$200$500$1Kfacility $251professional $182

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$120.23
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$125.89
Typical High
$446.68
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Facility
Modifier
XU · Unusual separate service
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where Delaware sits

The same service costs 6.9 times more in Texas than in North Carolina. 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.

Delaware· 41st of 51

$182

TX $933NC $135

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.