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Gene Test For Additional Tumor Mutations

Vermont 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 October 2026.

How much does Gene Test For Additional Tumor Mutations cost?

$224

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $138 to $245.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $195 · 10th to 90th $195 to $324Professionalmedian $224 · 10th to 90th $115 to $302
$100$200$500facility $195professional $224

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$229.09
Typical High
$436.52
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$223.87
Typical High
$426.58

Where Vermont sits

The same service costs 3.7 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.

Vermont· 12th of 51

$224

AK $437DE $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.