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Cancer-Related Gene Mutation Test

Florida 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?

$229

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $550 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$209$178 to $257
FacilityA hospital or hospital-owned outpatient department$550$295 to $851

How much rates vary

Facilitymedian $550 · 10th to 90th $224 to $1,072Professionalmedian $209 · 10th to 90th $162 to $309
$10$20$50$100$200$500$1Kfacility $550professional $209

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
$223.87
Median
$660.69
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$295.12
AvMed
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$346.74
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$501.19
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$269.15
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$389.05
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$295.12

Where Florida 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.

Florida· 47th of 51

$229

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.