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Cancer-Related Gene Mutation Test, Blood Or Tissue

North Carolina 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 North Carolina, 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 $186 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$141$117 to $182
FacilityA hospital or hospital-owned outpatient department$186$141 to $389

How much rates vary

Facilitymedian $186 · 10th to 90th $141 to $589Professionalmedian $141 · 10th to 90th $81 to $251
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $186professional $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
$141.25
Median
$169.82
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$380.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$186.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,318.26

Where North Carolina 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.

North Carolina $141 · 42nd 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.