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Cancer-Related Gene Mutation Test

Arizona 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?

$275

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $646 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$200$123 to $295
FacilityA hospital or hospital-owned outpatient department$646$331 to $955

How much rates vary

Facilitymedian $646 · 10th to 90th $209 to $1,288Professionalmedian $200 · 10th to 90th $123 to $1,479
$200$500$1Kfacility $646professional $200

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
$229.09
Median
$954.99
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$223.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$39.81
Typical High
$44.67
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$851.14
Typical High
$1,288.25
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$295.12
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$575.44
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$457.09
Medica
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$239.88
Typical High
$512.86
Medica
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$1,479.11
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$177.83

Where Arizona 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.

Arizona· 30th of 51

$275

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.