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Blood Gene Score For Heart Artery Disease

Pennsylvania rates for HCPCS 81493

Measures how active a set of genes is in a blood sample and combines the readings, with other information about the person, into a single score. The score estimates how likely it is that symptoms such as chest pain are caused by narrowed heart arteries, and helps decide whether further heart testing is worthwhile.

Rates data updated July 2026.

How much does Blood Gene Score For Heart Artery Disease cost?

$891

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,995 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 8 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$851$692 to $977
FacilityA hospital or hospital-owned outpatient department$1,995$1,230 to $2,884

How much rates vary

Facilitymedian $1,995 · 10th to 90th $891 to $3,981Professionalmedian $851 · 10th to 90th $562 to $1,778
$500$1K$2K$5Kfacility $1,995professional $851

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
$891.25
Median
$1,995.26
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$2,454.71
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,174.90
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,513.56
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,862.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,995.26
Typical High
$3,630.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$3,090.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$2,570.40
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$933.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,047.13
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,584.89

Where Pennsylvania sits

The same service costs 2.2 times more in North Dakota than in Connecticut. 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· 29th of 51

$891

ND $1,585CT $724

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.