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Inherited Colon Cancer Gene Panel

Vermont 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?

$501

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $977 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$501$501 to $501
FacilityA hospital or hospital-owned outpatient department$977$457 to $1,318

How much rates vary

Facilitymedian $977 · 10th to 90th $457 to $1,318Professionalmedian $501 · 10th to 90th $501 to $794
$500$1Kfacility $977professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,862.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$812.83
Typical High
$1,584.89

Where Vermont 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.

Vermont· 40th of 51

$501

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.