go back

Gene Test For Additional Tumor Mutations

Rhode Island rates for HCPCS 81276

This laboratory test examines a tumor sample for gene changes beyond the handful of well-known ones checked first. Certain changes affect whether specific targeted cancer drugs, most often used for colorectal cancer, are likely to help. The sample tested is usually tumor tissue taken during a biopsy or surgery rather than blood.

Rates data updated July 2026.

How much does Gene Test For Additional Tumor Mutations cost?

$145

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $437 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 4 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$145$138 to $145
FacilityA hospital or hospital-owned outpatient department$437$234 to $603

How much rates vary

Facilitymedian $437 · 10th to 90th $224 to $891Professionalmedian $145 · 10th to 90th $117 to $195
$100$200$500$1Kfacility $437professional $145

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
$234.42
Median
$562.34
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$288.40

Where Rhode Island 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.

Rhode Island· 50th of 51

$145

AK $437DE $129

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.