go back

Genetic Panel For An Inherited Condition Group

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,148 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$490$398 to $562
FacilityA hospital or hospital-owned outpatient department$1,148$708 to $1,622

How much rates vary

Facilitymedian $1,148 · 10th to 90th $513 to $2,239Professionalmedian $490 · 10th to 90th $331 to $1,000
$200.0$1.0K$5.0K$20.0Kfacility $1,148professional $490

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
$512.86
Median
$1,148.15
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$912.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$912.01
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$676.08
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$870.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,047.13
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,148.15
Typical High
$2,089.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$1,778.28
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,479.11
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$707.95
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
$354.81
Typical High
$912.01

Where Pennsylvania 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.

Pennsylvania $513 · 30th 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.