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Inherited Colon Cancer Gene Panel

New Jersey 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 October 2026.

How much does Inherited Colon Cancer Gene Panel cost?

$501

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $5,754 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$437$407 to $501
FacilityA hospital or hospital-owned outpatient department$5,754$1,288 to $15,849

How much rates vary

Facilitymedian $5,754 · 10th to 90th $589 to $21,878Professionalmedian $437 · 10th to 90th $355 to $794
$500$1K$2K$5K$10K$20Kfacility $5,754professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$218.78
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,819.70
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$691.83
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$1,380.38
Typical High
$1,905.46
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$14,454.40
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$371.54
Typical High
$794.33

Where New Jersey sits

The same service costs 4.0 times more in Wisconsin than in Georgia. 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.

New Jersey· 43rd of 51

$501

WI $1,549GA $389

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.