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KRAS And NRAS Tumor Mutation Test

New York rates for HCPCS 0111U

Looks for mutations in the KRAS and NRAS genes in a sample of colon cancer tissue, checking three specific spots (codons) in each of the two genes. These genes influence how a tumor grows, so the result adds to what the care team knows about the tumor.

Rates data updated July 2026.

How much does KRAS And NRAS Tumor Mutation Test cost?

$288

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $776 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$204$77.62 to $513
FacilityA hospital or hospital-owned outpatient department$776$676 to $1,445

How much rates vary

Facilitymedian $776 · 10th to 90th $617 to $1,738Professionalmedian $204 · 10th to 90th $78 to $912
$100$200$500$1K$2Kfacility $776professional $204

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$741.31
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,445.44
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$3,311.31
Typical High
$3,311.31
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$2,630.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,318.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$1,230.27
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$933.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$776.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,621.81

Where New York sits

The same service costs 20.0 times more in Alaska than in Kentucky. 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.

New York· 49th of 51

$288

AK $1,549KY $77.62

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.