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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 October 2026.

How much does Cancer-Related Gene Mutation Test cost?

$309

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $537 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$251 to $479
FacilityA hospital or hospital-owned outpatient department$537$331 to $741

How much rates vary

Facilitymedian $537 · 10th to 90th $295 to $1,072Professionalmedian $302 · 10th to 90th $123 to $575
$200$500$1Kfacility $537professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$575.44
Typical High
$575.44
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$524.81
Typical High
$1,071.52
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$295.12
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$616.60
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$218.78
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$575.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$338.84
Typical High
$575.44
Molina
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$562.34
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$660.69
Typical High
$1,071.52
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$309.03
Select Health
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
Select Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$478.63
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Idaho sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Idaho· 21st of 51

$309

AK $661AL $174

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.