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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 July 2026.

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

$513

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $1,000 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 5 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$468$355 to $513
FacilityA hospital or hospital-owned outpatient department$1,000$776 to $3,090

How much rates vary

Facilitymedian $1,000 · 10th to 90th $603 to $6,026Professionalmedian $468 · 10th to 90th $316 to $759
$200$500$1K$2K$5K$10K$20Kfacility $1,000professional $468

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
$758.58
Median
$851.14
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$870.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$602.56
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$616.60

Where New Jersey 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.

New Jersey· 29th of 51

$513

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.