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Genetic Panel For An Inherited Condition Group

New Jersey 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 October 2026.

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

$417

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $5,129 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$316 to $417
FacilityA hospital or hospital-owned outpatient department$5,129$1,318 to $15,849

How much rates vary

Facilitymedian $5,129 · 10th to 90th $603 to $21,878Professionalmedian $398 · 10th to 90th $288 to $603
$200$500$1K$2K$5K$10K$20Kfacility $5,129professional $398

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
$316.23
Median
$398.11
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$158.49
Typical High
$257.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$63.10
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,412.54
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$707.95
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$416.87
Typical High
$776.25
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$354.81
Typical High
$602.56

Where New Jersey sits

The same service costs 3.8 times more in Alaska than in Georgia. 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.

New Jersey· 43rd of 51

$417

AK $1,349GA $355

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.