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Mismatch Repair Gene Test For Inherited Cancer Risk

New York rates for HCPCS 81298

A laboratory test that reads a gene involved in repairing the errors cells make when they copy their DNA, looking for inherited changes that raise the risk of bowel, womb and several related cancers. It is ordered when a personal or family cancer history, or a finding in a tumor sample, points to an inherited cause.

Rates data updated July 2026.

Facilitymedian $955 · 10th–90th $316$1,7780%10%20%10th90th$955Professionalmedian $513 · 10th–90th $174$1,1480%10%20%10th90th$513$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$549.54
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,023.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$645.65
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,380.38
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$776.25
Typical High
$3,090.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$645.65
Typical High
$1,445.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$1,230.27
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$758.58
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$831.76
Typical High
$3,388.44
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$645.65
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$416.87
Typical High
$1,380.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$676.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$1,258.93