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Genetic Panel For An Inherited Condition Group

North Carolina 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?

$479

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $525 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 7 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$479$331 to $603
FacilityA hospital or hospital-owned outpatient department$525$479 to $955

How much rates vary

Facilitymedian $525 · 10th to 90th $380 to $1,995Professionalmedian $479 · 10th to 90th $76 to $794
$10.0$50.0$200.0$1.0K$5.0Kfacility $525professional $479

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
$380.19
Median
$524.81
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$389.05
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,318.26
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$602.56
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,466.84

Where North Carolina 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.

North Carolina $479 · 36th 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.