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Genetic Panel For An Inherited Condition Group

Illinois rates for HCPCS 81434

This test analyzes multiple genes from a blood or saliva sample to look for inherited changes associated with a specific group of hereditary conditions that can run in families. It is ordered when a hereditary pattern is suspected based on personal or family history. A genetics professional typically helps interpret the results.

Rates data updated July 2026.

How much does Genetic Panel For An Inherited Condition Group cost?

$589

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $933 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 6 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$501$468 to $724
FacilityA hospital or hospital-owned outpatient department$933$617 to $1,230

How much rates vary

Facilitymedian $933 · 10th to 90th $490 to $1,622Professionalmedian $501 · 10th to 90th $355 to $1,202
$200$500$1K$2K$5Kfacility $933professional $501

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
$933.25
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,089.30
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$724.44
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,047.13
Typical High
$6,760.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$602.56

Where Illinois sits

The same service costs 2.2 times more in North Dakota than in Florida. 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.

Illinois· 21st of 51

$589

ND $912FL $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.