100 genetic counselors across Roanoke County. Browse by city or filter by insurance and telehealth.
A session lasts 30 to 60 minutes. The counselor will draw and analyze your family health history (pedigree), explain the genetic basis of the condition in question, discuss the benefits, limitations, and risks of genetic testing, and help you decide whether testing is right for you. If you have already been tested, the counselor will explain the results in plain language and discuss what they mean for you and your family. Genetic counselors provide emotional support and connect you with resources. They do not pressure you toward any particular decision about testing or treatment.
See a genetic counselor if you are pregnant and want to understand prenatal screening or diagnostic test options, have a family history of cancer (especially breast, ovarian, or colon cancer diagnosed young or in multiple relatives), have a child with a developmental delay or birth defect, are planning a pregnancy and want to understand carrier screening (especially if you and your partner share ancestry from a group with higher rates of certain conditions), received an unexpected result on a direct-to-consumer genetic test, or have a family history of a known genetic condition and want to understand your risk.
Genetic counseling session: $100-400 (often covered by insurance) · Genetic testing: $250-2,000+ (usually covered when medically indicated) · With insurance copay: $20-75 · Direct-to-consumer test: $100-300 (not covered)
Genetic counseling sessions are covered by most insurance plans when medically indicated. Medicare covers genetic counseling for hereditary cancer syndromes and prenatal indications. Medicaid coverage varies by state. Genetic testing is covered when ordered based on medical necessity criteria (family history, clinical findings). Pre-authorization is often required for both the counseling visit and the test. If insurance denies coverage for testing, many labs offer reduced self-pay rates or financial assistance programs. The genetic counselor can help navigate coverage and appeals.