go back

Inherited Tumor Risk Gene Panel, Duplication And Deletion

Pennsylvania 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 October 2026.

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

$490

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $437 to $708.

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.

How much rates vary

Facilitymedian $708 · 10th to 90th $437 to $708Professionalmedian $490 · 10th to 90th $437 to $708
$500$1Kfacility $708professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$645.65
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$660.69
Typical High
$724.44
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$707.95
Typical High
$707.95
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$707.95
Typical High
$707.95

Where Pennsylvania sits

The same service costs 8.3 times more in Tennessee than in Utah. 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.

Pennsylvania· 44th of 51

$490

TN $2,188UT $263

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.