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Tumor DNA Instability Test

Washington 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?

$372

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $525 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$316 to $479
FacilityA hospital or hospital-owned outpatient department$525$417 to $692

How much rates vary

Facilitymedian $525 · 10th to 90th $347 to $955Professionalmedian $347 · 10th to 90th $178 to $1,738
$200$500$1K$2Kfacility $525professional $347

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
$331.13
Median
$331.13
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$338.84
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$457.09
Typical High
$954.99
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$1,737.80
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$562.34
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$371.54
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$407.38
Typical High
$870.96
Molina
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$389.05
Typical High
$776.25
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$616.60
Typical High
$954.99
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$549.54
Typical High
$954.99
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$338.84
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$389.05
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$346.74
Typical High
$630.96
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$66.07
Typical High
$67.61

Where Washington 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.

Washington· 19th of 51

$372

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.