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Inherited Colon Cancer Gene Panel

Virginia 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?

$550

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $1,318 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 8 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$437$372 to $550
FacilityA hospital or hospital-owned outpatient department$1,318$955 to $1,950

How much rates vary

Facilitymedian $1,318 · 10th to 90th $550 to $3,311Professionalmedian $437 · 10th to 90th $288 to $1,318
$500$1K$2K$5K$10Kfacility $1,318professional $437

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
$549.54
Median
$1,621.81
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,398.83
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,412.54
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,230.27
Sentara
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$851.14

Where Virginia 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.

Virginia· 34th of 51

$550

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.