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Cancer-Related Gene Mutation Test, Blood Or Tissue

West Virginia 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?

$145

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $219 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$141$129 to $148
FacilityA hospital or hospital-owned outpatient department$219$145 to $263

How much rates vary

Facilitymedian $219 · 10th to 90th $145 to $339Professionalmedian $141 · 10th to 90th $117 to $148
$100$200$500facility $219professional $141

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
$144.54
Median
$218.78
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$194.98

Where West Virginia 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.

West Virginia· 39th of 51

$145

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.