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Gene Panel For Inherited Heart Rhythm Disorders

Pennsylvania rates for HCPCS 81413

Reads a set of genes known to affect the heart's electrical system, looking for inherited changes that can cause dangerous rhythm disturbances such as long QT syndrome or Brugada syndrome. It is used when someone has unexplained blackouts, a suspicious heart tracing, or a family history of sudden cardiac death.

Rates data updated October 2026.

How much does Gene Panel For Inherited Heart Rhythm Disorders cost?

$501

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $794 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$457 to $631
FacilityA hospital or hospital-owned outpatient department$794$589 to $1,698

How much rates vary

Facilitymedian $794 · 10th to 90th $479 to $4,074Professionalmedian $479 · 10th to 90th $355 to $955
$500$1K$2K$5Kfacility $794professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$501.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$229.09
Median
$234.42
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$95.50
Typical High
$100.00
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$5,754.40
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$457.09
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$870.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$660.69
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$407.38
Typical High
$758.58
Geisinger
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Geisinger
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$776.25
Typical High
$1,348.96
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$478.63
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$234.42
Median
$234.42
Typical High
$251.19
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$95.50
Typical High
$100.00
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$891.25
Typical High
$1,445.44
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$588.84
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$354.81
Typical High
$851.14

Where Pennsylvania sits

The same service costs 3.2 times more in Alaska than in Delaware. 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· 37th of 51

$501

AK $1,318DE $417

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.