Genetic Counseling
Expert genetic risk assessment and counseling with clear, upfront pricing
Genetic Counseling is the specialty focused on expert genetic risk assessment and counseling with clear, upfront pricing. OpenDoc separates it into focused subspecialty paths so patients can start in the right care lane before they book. Transparent pricing on this page currently ranges from $100 to $600 across 18 common visit types. Genetic counseling on OpenDoc gives patients direct access to board-certified genetic counselors without insurance pre-authorization or physician gatekeeping. Over 60% of Americans carry at least one actionable genetic variant, yet most never receive counseling. Cash-pay sessions start at $150–$350 and include comprehensive risk assessment, test interpretation, and a written summary for your medical team.
Not sure where to start? Begin with General Genetic Counseling Evaluation and OpenDoc will keep the specialty, visit type, and price aligned before anything happens.
Cash-pay context
Why pricing transparency matters here
Many insurance plans restrict genetic counseling access with referral requirements and narrow coverage criteria. Cash-pay genetic counseling removes these barriers — you get expert risk assessment on your timeline without fighting for pre-authorization. Lab companies also increasingly offer competitive self-pay genetic testing prices that rival or beat insurance copays.
Subspecialties
Choose the right path inside Genetic Counseling
Each card represents a distinct focused path inside the specialty. This is the big shift from the old browse page: the user gets routing context before they ever hit a provider profile.
Cancer Genetics
Cancer genetic counselors assess hereditary cancer risk using personal and family history, coordinate germline testing for syndromes like BRCA1/2 and Lynch syndrome, and guide cancer screening and risk-reduction strategies including prophylactic surgery discussions.
Cardiovascular Genetics
Cardiovascular genetic counselors evaluate families with inherited heart conditions including cardiomyopathies, arrhythmias, aortopathies, and familial hypercholesterolemia. They coordinate cascade genetic testing and help families understand surveillance recommendations.
Prenatal Genetics
Prenatal genetic counselors help expectant parents interpret screening results, discuss diagnostic testing options like amniocentesis and CVS, and provide counseling for known genetic conditions. They also support pre-conception carrier screening and family planning decisions.
When you usually need this specialty
Common concerns that lead patients into Genetic Counseling
Family history of breast, ovarian, or colon cancer
Family history of early heart disease or sudden cardiac death
Recurrent pregnancy loss or infertility
Unexpected medication reactions (pharmacogenomics)
Known genetic condition in the family (BRCA, Lynch, etc.)
Abnormal prenatal screening results
Carrier screening before or during pregnancy
Personal history of multiple primary cancers
Family history of neurodegenerative disease
Hereditary hemochromatosis or clotting disorders
Common care paths
How Genetic Counseling is organized on OpenDoc
Genetic Counseling Session (Initial)
Genetic Counseling Session (Initial) is a common genetic counseling entry point on OpenDoc with transparent pricing before booking.
Genetic Counseling Follow-Up
Genetic Counseling Follow-Up is a common genetic counseling entry point on OpenDoc with transparent pricing before booking.
Carrier Screening Consultation
Carrier Screening Consultation is a screening-focused genetic counseling service for earlier detection, monitoring, or preventive care planning.
Cancer Risk Assessment
Cancer Risk Assessment is a common genetic counseling entry point on OpenDoc with transparent pricing before booking.
Prenatal Testing Interpretation
Prenatal Testing Interpretation is a common genetic counseling entry point on OpenDoc with transparent pricing before booking.
Pharmacogenomics Consultation
Pharmacogenomics Consultation is a common genetic counseling entry point on OpenDoc with transparent pricing before booking.
Routing guide
How the subspecialties differ
| Care path | Choose this route when… | Why OpenDoc separates it |
|---|---|---|
| Cancer Genetics | Family history of breast or ovarian cancer | Evaluates hereditary cancer syndromes and coordinates BRCA and multi-gene panel testing |
| Cardiovascular Genetics | Family member died suddenly from heart condition | Assesses inherited cardiac conditions and coordinates cascade testing in at-risk relatives |
| Prenatal Genetics | Abnormal prenatal screening result | Interprets NIPT, quad screen, and ultrasound findings and discusses diagnostic testing options |
| Prenatal Genetics | Planning pregnancy and want carrier screening | Guides pre-conception carrier screening decisions based on ethnicity and family history |
| Cancer Genetics | Multiple family members diagnosed with colon cancer | Evaluates for Lynch syndrome and other hereditary colorectal cancer syndromes |
| Cardiovascular Genetics | Diagnosed with familial high cholesterol | Coordinates genetic confirmation of familial hypercholesterolemia and cascade family screening |
Common services & estimated pricing
Review common visit types, transparent cash-pay estimates, and how the care path changes before you move into provider selection.
| Service | Type | Duration | Estimated price |
|---|---|---|---|
| Genetic Counseling Session (Initial) Genetic Counseling Session (Initial) is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 60 min | $150 – $350 |
| Genetic Counseling Follow-Up Genetic Counseling Follow-Up is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 30 min | $100 – $200 |
| Carrier Screening Consultation Carrier Screening Consultation is a screening-focused genetic counseling service for earlier detection, monitoring, or preventive care planning. | Screening | 45 min | $150 – $300 |
| Cancer Risk Assessment Cancer Risk Assessment is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 60 min | $200 – $400 |
| Prenatal Testing Interpretation Prenatal Testing Interpretation is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 45 min | $150 – $350 |
| Pharmacogenomics Consultation Pharmacogenomics Consultation is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 45 min | $175 – $350 |
| Multi-Gene Panel Test Coordination Multi-Gene Panel Test Coordination is a diagnostic genetic counseling service used to clarify the condition before treatment decisions are made. | Testing | Includes counseling + test order | $250 – $600 |
| BRCA1/BRCA2 Testing with Counseling BRCA1/BRCA2 Testing with Counseling is a diagnostic genetic counseling service used to clarify the condition before treatment decisions are made. | Testing | 60 min + lab processing | $250 – $500 |
| Cardiovascular Genetic Evaluation Cardiovascular Genetic Evaluation is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 60 min | $200 – $400 |
| Family Pedigree Analysis Family Pedigree Analysis is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 45 min | $150 – $300 |
| Results Disclosure Session Results Disclosure Session is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 30 min | $100 – $250 |
| Hereditary Cancer Syndrome Surveillance Plan Hereditary Cancer Syndrome Surveillance Plan is a common genetic counseling entry point on OpenDoc with transparent pricing before booking. | Evaluation | 45 min | $175 – $350 |
Pricing methodology: Pricing estimates are modeled from the current OpenDoc specialty taxonomy, visit archetypes, and transparent cash-pay assumptions. Posted provider pricing should be treated as the source of truth whenever it is available.
Last updated: April 8, 2026
Start here
General Genetic Counseling Evaluation
Start with a general genetic counseling evaluation if you want the provider to confirm the right care path before you move deeper into the specialty.
Why subspecialty matters
Why OpenDoc separates these care paths instead of collapsing them
Focused training matters
Specialties often branch into narrower care paths. Seeing them clearly helps patients choose providers with training that actually matches the problem.
Prices match the care path
A sports medicine visit, a spine evaluation, and a tumor consult are not the same visit. OpenDoc keeps pricing attached to the path, not just the umbrella specialty.
Less guesswork before booking
Patients should understand the likely route before they see provider cards. That lowers false starts and makes the next step into provider search feel clearer.
Better provider fit
This page keeps specialty, subspecialty, common visit types, and price context aligned so users can move into provider selection with more confidence.
FAQ
Frequently asked questions
Local discovery
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