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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 October 2026.

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

$170

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $166 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$141 to $186
FacilityA hospital or hospital-owned outpatient department$166$166 to $229

How much rates vary

Facilitymedian $166 · 10th to 90th $132 to $324Professionalmedian $170 · 10th to 90th $95 to $224
$10$20$50$100$200$500facility $166professional $170

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
$165.96
Median
$165.96
Typical High
$257.04
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$83.18
Typical High
$128.82
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$85.11
Typical High
$89.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$34.67
Typical High
$35.48
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$190.55
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$102.33
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$457.09
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$83.18
Typical High
$128.82
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$169.82
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Priority Health
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$102.33
Typical High
$239.88
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$158.49
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$173.78

Where Michigan sits

The same service costs 3.8 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.

Michigan· 28th of 51

$170

AK $398DE $105

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.