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Cancer-Related Gene Mutation Test, Blood Or Tissue

New Jersey 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?

$148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $295 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$138$115 to $148
FacilityA hospital or hospital-owned outpatient department$295$229 to $891

How much rates vary

Facilitymedian $295 · 10th to 90th $170 to $6,761Professionalmedian $138 · 10th to 90th $93 to $200
$100$500$2K$10Kfacility $295professional $138

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
$223.87
Median
$234.42
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$199.53
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$489.78
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$281.84
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$173.78
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$186.21

Where New Jersey 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.

New Jersey· 35th of 51

$148

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.