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Inherited Colon Cancer Gene Panel

West 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?

$479

Typical negotiated rate. In West Virginia, 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 $1,622 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$457 to $550
FacilityA hospital or hospital-owned outpatient department$1,622$479 to $1,950

How much rates vary

Facilitymedian $1,622 · 10th to 90th $479 to $1,950Professionalmedian $479 · 10th to 90th $437 to $871
$500$1K$2K$5Kfacility $1,622professional $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
$1,621.81
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$6,309.57
Typical High
$6,309.57
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$724.44

Where West 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.

West Virginia· 45th 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.