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Mismatch Repair Gene Test For Inherited Cancer Risk

Tennessee 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 October 2026.

How much does Mismatch Repair Gene Test For Inherited Cancer Risk cost?

$513

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $513 for this service. Most negotiated rates run $295 to $1,349.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $427 to $1,660Professionalmedian $501 · 10th to 90th $174 to $4,786
$200$500$1K$2K$5Kfacility $1,202professional $501

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
$478.63
Median
$512.86
Typical High
$977.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$512.86
Typical High
$741.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$251.19
Typical High
$371.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$102.33
Typical High
$147.91
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$331.13
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,318.26
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$346.74
Typical High
$870.96
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$269.15
Typical High
$575.44

Where Tennessee sits

The same service costs 5.0 times more in Alaska than in North Carolina. 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.

Tennessee· 32nd of 51

$513

AK $1,445NC $288

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.