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Cancer-Related Gene Mutation Test, Blood Or Tissue

South Carolina 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?

$141

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $437 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 5 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$138 to $145
FacilityA hospital or hospital-owned outpatient department$437$148 to $562

How much rates vary

Facilitymedian $437 · 10th to 90th $138 to $832Professionalmedian $138 · 10th to 90th $95 to $186
$100$200$500$1Kfacility $437professional $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
$138.04
Median
$436.52
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$177.83

Where South Carolina 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.

South Carolina· 45th of 51

$141

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.