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Cancer-Related Gene Mutation Test

Arkansas 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 October 2026.

How much does Cancer-Related Gene Mutation Test cost?

$339

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $339 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$178 to $372
FacilityA hospital or hospital-owned outpatient department$339$339 to $417

How much rates vary

Facilitymedian $339 · 10th to 90th $295 to $457Professionalmedian $251 · 10th to 90th $148 to $372
$200$500facility $339professional $251

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
$371.54
Median
$371.54
Typical High
$446.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$371.54
Typical High
$371.54
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$457.09
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$371.54
Typical High
$371.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$380.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$295.12
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$74.13
Typical High
$74.13

Where Arkansas sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Arkansas· 12th of 51

$339

AK $661AL $174

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.