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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 October 2026.

How much does Cancer-Related Gene Mutation Test, Blood Or Tissue cost?

$132

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $204 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$105 to $170
FacilityA hospital or hospital-owned outpatient department$204$174 to $214

How much rates vary

Facilitymedian $204 · 10th to 90th $158 to $263Professionalmedian $129 · 10th to 90th $91 to $240
$100$200$500facility $204professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$223.87
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$131.83
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$239.88
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$295.12

Where Rhode Island 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.

Rhode Island· 45th of 51

$132

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.