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Cancer-Related Gene Mutation Test, Blood Or Tissue

Michigan 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?

$166

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $166 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 6 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$166$126 to $166
FacilityA hospital or hospital-owned outpatient department$166$166 to $209

How much rates vary

Facilitymedian $166 · 10th to 90th $166 to $309Professionalmedian $166 · 10th to 90th $95 to $209
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $166professional $166

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
$165.96
Median
$165.96
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$251.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$416.87
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$239.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$173.78

Where Michigan 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.

Michigan $166 · 29th 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.