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BTK Gene Variant Test

Texas rates for HCPCS 81233

A laboratory test on a blood or bone marrow sample that looks for common changes in the BTK gene. Changes of this kind can appear in some blood cancers during treatment and make the cancer stop responding to a class of targeted drugs. The result helps decide whether to continue or switch treatment.

Rates data updated July 2026.

How much does BTK Gene Variant Test cost?

$174

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $324 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 11 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$132$105 to $174
FacilityA hospital or hospital-owned outpatient department$324$174 to $646

How much rates vary

Facilitymedian $324 · 10th to 90th $120 to $851Professionalmedian $132 · 10th to 90th $78 to $229
$10$20$50$100$200$500$1Kfacility $324professional $132

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$549.54
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$95.50
Typical High
$173.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$331.13
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,318.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$234.42

Where Texas sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Texas· 26th of 51

$174

AK $398DE $117

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.