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Cancer-Related Gene Mutation Test

Maryland 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?

$224

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $191 to $251.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $309 · 10th to 90th $123 to $417Professionalmedian $224 · 10th to 90th $132 to $355
$200$500$1Kfacility $309professional $224

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$234.42

Where Maryland 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.

Maryland· 48th of 51

$224

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.