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Cancer-Related Gene Mutation Test, Blood Or Tissue

Ohio 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?

$141

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $245 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$70.79 to $174
FacilityA hospital or hospital-owned outpatient department$245$182 to $355

How much rates vary

Facilitymedian $245 · 10th to 90th $162 to $575Professionalmedian $95 · 10th to 90th $71 to $339
$100$200$500$1Kfacility $245professional $95

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
$181.97
Median
$389.05
Typical High
$707.95
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$165.96
Typical High
$354.81
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$67.61
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$147.91
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$70.79
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.18
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$257.04
CareSource
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$245.47
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$218.78
Typical High
$724.44
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$234.42
Molina
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$275.42
United
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$251.19

Where Ohio 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.

Ohio· 43rd of 51

$141

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.