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Genetic Panel For An Inherited Condition Group

Ohio 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 Ohio, 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 $832 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$479$302 to $537
FacilityA hospital or hospital-owned outpatient department$832$603 to $1,288

How much rates vary

Facilitymedian $832 · 10th to 90th $479 to $1,445Professionalmedian $479 · 10th to 90th $240 to $977
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $832professional $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
$489.78
Median
$1,023.29
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$1,202.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$776.25
Typical High
$2,454.71
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$724.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$812.83

Where Ohio 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.

Ohio $479 · 41st 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.