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Genetic Panel For An Inherited Condition Group

New York 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 York, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $977 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 9 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$398$331 to $603
FacilityA hospital or hospital-owned outpatient department$977$603 to $1,380

How much rates vary

Facilitymedian $977 · 10th to 90th $490 to $1,660Professionalmedian $398 · 10th to 90th $240 to $1,047
$100.0$1.0K$10.0K$100.0Kfacility $977professional $398

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
$1,047.13
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,000.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$602.56
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,288.25
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$812.83
Typical High
$2,884.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,071.52
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$707.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$776.25
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$1,348.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$630.96
Typical High
$812.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,174.90

Where New York 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.

New York $513 · 31st 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.