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Ancestry-Based Carrier Screening Gene Panel

Pennsylvania rates for HCPCS 81412

Reads a set of genes at once to find out whether a healthy person carries a genetic change for any of a group of inherited conditions that occur more often in people of a particular ancestry. It is screening rather than diagnosis: carriers are usually well themselves, and the result matters mainly for the chance of passing a condition on to a child. It is typically done before or early in a pregnancy, often with the partner tested as well.

Rates data updated July 2026.

How much does Ancestry-Based Carrier Screening Gene Panel cost?

$1,995

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $3,467 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 9 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$1,995$603 to $2,089
FacilityA hospital or hospital-owned outpatient department$3,467$2,089 to $6,166

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,047 to $7,244Professionalmedian $1,995 · 10th to 90th $513 to $3,802
$500$1K$2K$5K$10Kfacility $3,467professional $1,995

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
$1,047.13
Median
$3,630.78
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,995.26
Typical High
$3,801.89
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,715.35
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$5,495.41
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$3,548.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$4,265.80
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,715.35
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,995.26
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$6,025.60
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,454.71
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,230.27
Typical High
$3,467.37

Where Pennsylvania sits

The same service costs 7.2 times more in North Dakota than in Vermont. 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.

Pennsylvania· 26th of 51

$1,995

ND $3,715VT $513

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.