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Genetic Panel For An Inherited Condition Group

Massachusetts 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?

$603

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,175 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 8 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$603$447 to $603
FacilityA hospital or hospital-owned outpatient department$1,175$813 to $1,660

How much rates vary

Facilitymedian $1,175 · 10th to 90th $447 to $1,950Professionalmedian $603 · 10th to 90th $355 to $1,380
$100.0$1.0K$10.0Kfacility $1,175professional $603

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
$416.87
Median
$1,174.90
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$1,778.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$691.83
Typical High
$1,258.93
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$870.96
Typical High
$1,023.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,000.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,071.52

Where Massachusetts sits

The same service costs 2.2 times more in North Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $603 · 14th of 51
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.