go back

Tumor DNA Instability Test

Vermont rates for HCPCS 81301

This test examines a tumor sample for a pattern of genetic instability that occurs when the cells lose the ability to properly repair small errors in their DNA. Finding this pattern can point to an inherited cancer risk syndrome and can also help guide certain treatment decisions, including whether a specific type of cancer treatment is likely to work well. Tumor tissue is often compared against normal tissue from the same person for an accurate result.

Rates data updated October 2026.

How much does Tumor DNA Instability Test cost?

$398

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $589 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$229 to $490
FacilityA hospital or hospital-owned outpatient department$589$589 to $617

How much rates vary

Facilitymedian $589 · 10th to 90th $347 to $692Professionalmedian $398 · 10th to 90th $209 to $776
$200$500$1Kfacility $589professional $398

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
$229.09
Median
$229.09
Typical High
$275.42
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$537.03
Typical High
$776.25
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$407.38
Typical High
$776.25

Where Vermont sits

The same service costs 4.5 times more in Alaska than in Alabama. 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· 14th of 51

$398

AK $776AL $174

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.