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Cancer-Related Gene Mutation Test

Alabama rates for HCPCS 81311

This service is a genetic laboratory test that looks for specific mutations in a gene that is commonly altered in certain cancers. Results can help guide decisions about cancer treatment, including whether a particular targeted therapy is likely to work. The test is run on a tumor tissue sample.

Rates data updated July 2026.

How much does Cancer-Related Gene Mutation Test cost?

$234

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $269 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$229$178 to $339
FacilityA hospital or hospital-owned outpatient department$269$195 to $339

How much rates vary

Facilitymedian $269 · 10th to 90th $166 to $447Professionalmedian $229 · 10th to 90th $178 to $339
$200$500facility $269professional $229

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
$295.12
Median
$338.84
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$269.15
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$295.12

Where Alabama sits

The same service costs 3.3 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.

Alabama· 46th of 51

$234

AK $661DE $200

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.