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EGFR Gene Variant Test For Cancer Treatment

New Hampshire rates for HCPCS 81235

A laboratory test on a tumor sample that checks the EGFR gene for a set of well-recognized changes. The result predicts whether the cancer is likely to respond to certain targeted drugs that block the protein this gene makes.

Rates data updated July 2026.

How much does EGFR Gene Variant Test For Cancer Treatment cost?

$324

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $832 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 5 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$324$229 to $324
FacilityA hospital or hospital-owned outpatient department$832$603 to $1,318

How much rates vary

Facilitymedian $832 · 10th to 90th $457 to $1,862Professionalmedian $324 · 10th to 90th $209 to $617
$200$500$1K$2Kfacility $832professional $324

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
$457.09
Median
$831.76
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,174.90
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$1,348.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$891.25

Where New Hampshire sits

The same service costs 3.0 times more in Alaska than in Maryland. 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 Hampshire· 17th of 51

$324

AK $724MD $245

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.