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Cancer-Related Gene Mutation Test

Washington, DC 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?

$224

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $224 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 5 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$219 to $229
FacilityA hospital or hospital-owned outpatient department$224$224 to $355

How much rates vary

Facilitymedian $224 · 10th to 90th $224 to $501Professionalmedian $224 · 10th to 90th $214 to $380
$200$500$1K$2Kfacility $224professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$602.56
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$354.81
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$275.42

Where Washington, DC 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.

Washington, DC· 49th of 51

$224

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.