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Cancer-Related Gene Mutation Test

Idaho 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?

$302

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $447 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 8 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$302$275 to $339
FacilityA hospital or hospital-owned outpatient department$447$295 to $741

How much rates vary

Facilitymedian $447 · 10th to 90th $295 to $933Professionalmedian $302 · 10th to 90th $209 to $575
$200.0$500.0$1.0Kfacility $447professional $302

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
$537.03
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$549.54
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$616.60
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$257.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,071.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$295.12

Where Idaho sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $302 · 18th of 51
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.