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Cancer-Related Gene Mutation Test

Indiana 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?

$251

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $295 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$240$162 to $240
FacilityA hospital or hospital-owned outpatient department$295$295 to $589

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $891Professionalmedian $240 · 10th to 90th $117 to $275
$200$500$1K$2Kfacility $295professional $240

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
$239.88
Median
$316.23
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$229.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$269.15
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$354.81

Where Indiana 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.

Indiana· 37th of 51

$251

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.