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KRAS Gene Mutation Testing

North Carolina rates for HCPCS 81275

This laboratory test looks for specific changes (mutations) in the KRAS gene using a sample of tumor tissue or blood. It is most often ordered for people with colorectal or lung cancer to help doctors decide whether certain targeted cancer drugs are likely to work. A positive result generally means those particular drugs will not be effective.

Rates data updated July 2026.

How much does KRAS Gene Mutation Testing cost?

$155

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $170 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$155$100 to $195
FacilityA hospital or hospital-owned outpatient department$170$155 to $288

How much rates vary

Facilitymedian $170 · 10th to 90th $148 to $646Professionalmedian $155 · 10th to 90th $89 to $257
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $170professional $155

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
$123.03
Median
$169.82
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$426.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,445.44

Where North Carolina sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $155 · 41st of 51
AK $437DC $145

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.