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Cancer-Related Gene Mutation Test, Blood Or Tissue

Missouri 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 Missouri, 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 $240 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$151$105 to $204
FacilityA hospital or hospital-owned outpatient department$240$174 to $302

How much rates vary

Facilitymedian $240 · 10th to 90th $170 to $407Professionalmedian $151 · 10th to 90th $71 to $339
$100$200$500facility $240professional $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
$169.82
Median
$295.12
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$234.42

Where Missouri 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.

Missouri· 18th of 51

$174

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.