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Cancer-Related Gene Mutation Test, Blood Or Tissue

Delaware rates for HCPCS 81305

This service is a genetic laboratory test that looks for specific mutations in a gene commonly altered in certain blood or bone marrow cancers. Results can help confirm a diagnosis and guide treatment decisions. The test is typically run on a blood or bone marrow sample.

Rates data updated July 2026.

How much does Cancer-Related Gene Mutation Test, Blood Or Tissue cost?

$117

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$93.33 to $145
FacilityA hospital or hospital-owned outpatient department$200$200 to $1,175

How much rates vary

Facilitymedian $200 · 10th to 90th $200 to $1,175Professionalmedian $117 · 10th to 90th $93 to $525
$100.0$200.0$500.0$1.0Kfacility $200professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$239.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$1,122.02
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$263.03

Where Delaware sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $117 · 51st of 51
AK $398DE $117

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.