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Inherited Tumor Risk Gene Panel, Duplication And Deletion

North Carolina rates for HCPCS 81438

A genetic panel that checks at least four genes for missing or duplicated segments of DNA. The genes tested are linked to inherited tumor risk that can run in families. All of them are examined together as one panel.

Rates data updated July 2026.

How much does Inherited Tumor Risk Gene Panel, Duplication And Deletion cost?

$1,000

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,514 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 6 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$398$398 to $2,188
FacilityA hospital or hospital-owned outpatient department$1,514$977 to $1,514

How much rates vary

Facilitymedian $1,514 · 10th to 90th $363 to $1,820Professionalmedian $398 · 10th to 90th $355 to $2,188
$200$500$1K$2Kfacility $1,514professional $398

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,819.70
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$707.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76

Where North Carolina sits

The same service costs 10.0 times more in New Jersey than in Louisiana. 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.

North Carolina· 9th of 51

$1,000

NJ $2,188LA $219

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.