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KRAS And NRAS Tumor Mutation Test

Pennsylvania 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?

$676

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $759 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 6 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$537$407 to $759
FacilityA hospital or hospital-owned outpatient department$759$676 to $1,148

How much rates vary

Facilitymedian $759 · 10th to 90th $661 to $2,344Professionalmedian $537 · 10th to 90th $309 to $1,148
$500$1K$2K$5K$10K$20K$50Kfacility $759professional $537

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,288.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,698.24
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$912.01

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$676

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.