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Cancer-Related Gene Mutation Test

Michigan 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?

$275

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $282 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$224 to $295
FacilityA hospital or hospital-owned outpatient department$282$282 to $380

How much rates vary

Facilitymedian $282 · 10th to 90th $224 to $537Professionalmedian $275 · 10th to 90th $178 to $355
$10$20$50$100$200$500$1Kfacility $282professional $275

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
$281.84
Median
$281.84
Typical High
$436.52
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$218.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$288.40
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$144.54
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$57.54
Typical High
$60.26
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$316.23
Typical High
$549.54
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$223.87
CareSource
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
CareSource
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$323.59
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$812.83
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$218.78
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$87.10
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$281.84
Typical High
$371.54
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Priority Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$269.15
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$295.12

Where Michigan 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.

Michigan· 31st of 51

$275

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.