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Cancer-Related Gene Mutation Test, Blood Or Tissue

New Mexico 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?

$182

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $562 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$132$126 to $209
FacilityA hospital or hospital-owned outpatient department$562$263 to $1,072

How much rates vary

Facilitymedian $562 · 10th to 90th $158 to $1,479Professionalmedian $132 · 10th to 90th $74 to $1,148
$100.0$1.0K$10.0Kfacility $562professional $132

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
$263.03
Median
$524.81
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$954.99
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$141.25

Where New Mexico 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.

New Mexico $182 · 14th 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.