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Cancer-Related Gene Mutation Test, Blood Or Tissue

Utah 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?

$158

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $200 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$105 to $174
FacilityA hospital or hospital-owned outpatient department$200$158 to $851

How much rates vary

Facilitymedian $200 · 10th to 90th $158 to $1,122Professionalmedian $148 · 10th to 90th $74 to $214
$100$200$500$1Kfacility $200professional $148

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
$158.49
Median
$851.14
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$426.58
Typical High
$549.54
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$169.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$190.55
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$208.93
Typical High
$323.59
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
Select Health
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$194.98
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$104.71

Where Utah 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.

Utah· 33rd of 51

$158

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.