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Cancer-Related Gene Mutation Test

Maine 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?

$240

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $363 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$148 to $245
FacilityA hospital or hospital-owned outpatient department$363$288 to $437

How much rates vary

Facilitymedian $363 · 10th to 90th $288 to $1,820Professionalmedian $178 · 10th to 90th $117 to $355
$100$200$500$1K$2Kfacility $363professional $178

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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$239.88
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$389.05
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$302.00
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$295.12
Typical High
$512.86
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$512.86

Where Maine 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.

Maine· 38th of 51

$240

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.