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Inherited Colon Cancer Gene Panel

Illinois rates for HCPCS 81435

A blood or saliva test that reads several genes known to cause inherited forms of bowel cancer and related cancers, such as Lynch syndrome and inherited polyp conditions. Finding a change in one of these genes explains a strong family history and guides how early and how often screening should be done.

Rates data updated July 2026.

How much does Inherited Colon Cancer Gene Panel cost?

$646

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,202 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 7 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$501$437 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,202$741 to $2,042

How much rates vary

Facilitymedian $1,202 · 10th to 90th $479 to $2,754Professionalmedian $501 · 10th to 90th $3 to $1,549
$10$100$1Kfacility $1,202professional $501

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
$478.63
Median
$1,202.26
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$891.25
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,995.26
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$933.25
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,570.40
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$794.33

Where Illinois sits

The same service costs 4.0 times more in North Dakota than in Washington, DC. 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.

Illinois· 26th of 51

$646

ND $1,738DC $437

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.