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Cancer-Related Gene Mutation Test, Blood Or Tissue

Iowa 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?

$174

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $269 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 8 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$151$135 to $339
FacilityA hospital or hospital-owned outpatient department$269$174 to $468

How much rates vary

Facilitymedian $269 · 10th to 90th $135 to $513Professionalmedian $151 · 10th to 90th $105 to $1,148
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $269professional $151

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
$134.90
Median
$363.08
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$416.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$446.68
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where Iowa 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.

Iowa $174 · 28th 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.