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Cancer-Related Gene Mutation Test, Blood Or Tissue

Kentucky 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?

$141

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $174 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 5 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$141$138 to $145
FacilityA hospital or hospital-owned outpatient department$174$145 to $263

How much rates vary

Facilitymedian $174 · 10th to 90th $145 to $417Professionalmedian $141 · 10th to 90th $105 to $195
$100$200$500facility $174professional $141

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
$144.54
Median
$144.54
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$173.78

Where Kentucky sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Kentucky· 43rd of 51

$141

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.