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Genetic Panel For An Inherited Condition Group

West Virginia 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 West Virginia, 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 $741 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$479$398 to $513
FacilityA hospital or hospital-owned outpatient department$741$490 to $891

How much rates vary

Facilitymedian $741 · 10th to 90th $490 to $891Professionalmedian $479 · 10th to 90th $302 to $513
$200.0$500.0$1.0K$2.0Kfacility $741professional $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
$741.31
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$2,884.03
Typical High
$2,884.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$602.56

Where West Virginia 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.

West Virginia $479 · 38th 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.