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Tumor Test For Common Metabolic Gene Changes

Maine rates for HCPCS 81121

A laboratory test on a tumor or bone marrow sample that looks for a set of specific known changes in a gene controlling a step in the cell's energy metabolism. Only those common, well-defined changes are examined rather than the whole gene being read from end to end. Results help guide treatment choices and judge outlook in certain brain tumors and in acute myeloid leukemia.

Rates data updated October 2026.

How much does Tumor Test For Common Metabolic Gene Changes cost?

$240

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $170 to $363.

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.

How much rates vary

Facilitymedian $389 · 10th to 90th $288 to $1,820Professionalmedian $178 · 10th to 90th $117 to $355
$100$200$500$1K$2Kfacility $389professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$239.88
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$389.05
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$302.00
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$295.12
Typical High
$512.86
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$512.86

Where Maine sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Maine· 39th of 51

$240

AK $661AL $174

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.