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Cancer-Related Gene Mutation Test, Blood Or Tissue

Washington 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?

$174

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $257 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 10 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$166$141 to $219
FacilityA hospital or hospital-owned outpatient department$257$174 to $407

How much rates vary

Facilitymedian $257 · 10th to 90th $174 to $776Professionalmedian $166 · 10th to 90th $105 to $437
$100.0$200.0$500.0$1.0Kfacility $257professional $166

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
$165.96
Median
$380.19
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$1,148.15
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$478.63
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$239.88
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$354.81
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$208.93
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$549.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$208.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$316.23

Where Washington 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.

Washington $174 · 27th 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.