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Inherited Colon Cancer Gene Panel

Kentucky 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?

$479

Typical negotiated rate. In Kentucky, 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 $1,175 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$100 to $794
FacilityA hospital or hospital-owned outpatient department$1,175$479 to $1,413

How much rates vary

Facilitymedian $1,175 · 10th to 90th $479 to $1,905Professionalmedian $479 · 10th to 90th $100 to $912
$100$200$500$1K$2K$5Kfacility $1,175professional $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
$478.63
Median
$478.63
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$354.81
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$2,454.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$3,801.89
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$851.14

Where Kentucky 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.

Kentucky· 46th of 51

$479

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.