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Genetic Consultation Cost


How Much Does a Genetic Consultation Cost?

 
low costWith Insurance: Copays Usually $15-$35average costWithout Insurance: Usually $150+ Per Hour
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A genetic consultation can be used to confirm, diagnose or rule out a genetic condition and to calculate genetic risks.

Common reasons for seeking a genetic consultation include that a couple is planning to try to conceive or is expecting a baby and want to know about their child's risk of a genetic abnormality; that a child is experiencing abnormalities in growth or developmental delays; or that an adult has a confirmed or suspected family history of a genetic condition, chromosomal abnormality or hereditary cancer.

Typical costs:

  • For patients not covered by health insurance genetic testing typically costs $150 or more per hour. The length of the consultation depends on the severity of the condition and how much research is required.
  • Health insurance usually covers the cost of a genetic consultation, especially for an individual with a family history of a hereditary disease or abnormality. However, some patients choose to pay out-of-pocket for privacy reasons.
  • For patients covered by health insurance, the typical out-of-pocket cost would be a doctor visit or specialist copay of $15 to $35.
Related articles: Baby Delivery, Fertility Test

What should be included:
  • In a genetic consultation, the doctor or counselor will discuss the reason for the visit and document the patient's medical history and family history, obtain any necessary medical or testing records of the patient or family members, and do a physical examination if necessary. Then, the doctor will evaluate the information and recommend further tests if necessary. Then, the information will be shared with the patient, and sources of support and coping mechanisms will be discussed if applicable. GeneTests.org offers an overview of genetic consultations.
Additional costs:
  • At a genetic consultation, it might be determined that genetic testing is required. This typically costs from $150 to $3,000, depending on the type of testing required. It usually is covered by health insurance. The U.S. Department of Health and Human Services[1] offers a guide to better understanding genetic testing. Privacy and possible discrimination are issues to consider when planning to have such a test. But, the Genetic Information Nondiscrimination Act of 2008 makes it illegal for employers or health insurance companies to discriminate based on results of genetic testing.
Discounts:
  • Some states offer genetic consultations based on a sliding fee scale.
Shopping for a genetic consultation:
  • The University of Kansas Medical Center[2] provides a list of conditions considered to be genetic. And GeneTests.org offers a guide to who should get a consultation.
  • The American Board of Medical Genetics[3] offers a doctor locator by city and state. And the American Board of Genetic Counselors offers an alphabetized list of certified counselors.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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External Resources:
  1.  www.accessexcellence.org/AE/AEPC/NIH/index.php
  2.  www.kumc.edu/gec/support/
  3.  www.abmg.org/pages/searchmem.shtml
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