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Cancer-Related Gene Mutation Test, Blood Or Tissue

Rhode Island 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?

$129

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $263 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 4 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$129$123 to $132
FacilityA hospital or hospital-owned outpatient department$263$204 to $794

How much rates vary

Facilitymedian $263 · 10th to 90th $174 to $1,000Professionalmedian $129 · 10th to 90th $105 to $174
$100.0$200.0$500.0$1.0Kfacility $263professional $129

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$251.19

Where Rhode Island 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.

Rhode Island $129 · 48th 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.