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Cancer-Related Gene Mutation Test

Colorado 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?

$316

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $724 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 7 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$224$178 to $240
FacilityA hospital or hospital-owned outpatient department$724$389 to $1,230

How much rates vary

Facilitymedian $724 · 10th to 90th $229 to $1,479Professionalmedian $224 · 10th to 90th $123 to $316
$200$500$1K$2Kfacility $724professional $224

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
$186.21
Median
$645.65
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$891.25
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$123.03
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$426.58
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$177.83

Where Colorado 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.

Colorado· 15th of 51

$316

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.