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Cancer-Related Gene Mutation Test

Iowa 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.

Facilitymedian $447 · 10th–90th $229$8510%10%20%10th90th$447Professionalmedian $257 · 10th–90th $178$1,9500%10%10th90th$257$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$616.60
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$512.86
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$389.05
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$741.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12