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MSH2 Large Deletion and Duplication Test

Texas rates for HCPCS 81297

A genetic test that checks the MSH2 gene for whole sections that are missing or present in extra copies. Faults in this gene cause Lynch syndrome, an inherited condition that raises the risk of bowel, womb and several other cancers. It looks for large blocks gained or lost rather than small single-letter spelling changes.

Rates data updated October 2026.

How much does MSH2 Large Deletion and Duplication Test cost?

$407

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $372 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$129 to $1,585
FacilityA hospital or hospital-owned outpatient department$372$214 to $676

How much rates vary

Facilitymedian $372 · 10th to 90th $214 to $1,047Professionalmedian $1,072 · 10th to 90th $78 to $1,585
$10$20$50$100$200$500$1Kfacility $372professional $1,072

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$309.03
Typical High
$1,148.15
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$154.88
Typical High
$575.44
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$61.66
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$131.83
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$66.07
Typical High
$93.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$26.30
Typical High
$37.15
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$707.95
Typical High
$1,174.90
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$117.49
Typical High
$169.82
Christus
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$446.68
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$134.90
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$1,584.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$251.19
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$154.88
Typical High
$575.44
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$61.66
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$131.83
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$66.07
Typical High
$85.11
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$26.30
Typical High
$33.88
Molina
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$229.09
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$489.78
Typical High
$870.96
Providence
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$204.17
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$89.13
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$89.13
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$213.80
Typical High
$288.40

Where Texas sits

The same service costs 3.7 times more in Alaska than in Oklahoma. 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· 2nd of 51

$407

AK $479OK $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.