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Inherited Colon Cancer Gene Panel

Ohio 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?

$468

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $1,380 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$288 to $794
FacilityA hospital or hospital-owned outpatient department$1,380$1,230 to $1,950

How much rates vary

Facilitymedian $1,380 · 10th to 90th $759 to $2,291Professionalmedian $355 · 10th to 90th $288 to $1,445
$500$1K$2K$5Kfacility $1,380professional $355

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
$602.56
Median
$1,288.25
Typical High
$2,187.76
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$275.42
Median
$537.03
Typical High
$741.31
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$109.65
Median
$218.78
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$234.42
Median
$234.42
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$93.33
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,513.56
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$1,380.38
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$1,380.38
Typical High
$2,398.83
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$1,071.52
Typical High
$1,621.81
SummaCare
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$1,174.90
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$416.87
Typical High
$933.25

Where Ohio 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.

Ohio· 49th of 51

$468

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.