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Gene Panel For Inherited Neuroendocrine Tumor Risk

West Virginia rates for HCPCS 81437

A laboratory test that reads a set of genes linked to inherited conditions that predispose to neuroendocrine tumors, such as medullary thyroid cancer and tumors of the adrenal gland and its related nerve tissue. It looks both for small changes in the letters of these genes and for whole sections that are missing or duplicated. The result can explain why tumors have occurred, guide monitoring, and show which relatives should be offered testing.

Rates data updated July 2026.

How much does Gene Panel For Inherited Neuroendocrine Tumor Risk cost?

$363

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 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 4 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$363$339 to $417
FacilityA hospital or hospital-owned outpatient department$1,622$363 to $1,950

How much rates vary

Facilitymedian $1,622 · 10th to 90th $363 to $1,950Professionalmedian $363 · 10th to 90th $302 to $871
$200$500$1K$2K$5Kfacility $1,622professional $363

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
$363.08
Median
$1,621.81
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
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
$851.14
Median
$1,318.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$602.56

Where West Virginia sits

The same service costs 5.9 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· 48th of 51

$363

ND $1,950DC $331

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.