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Cancer-Related Gene Mutation Test

Nebraska 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?

$324

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $589 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 6 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$195$195 to $776
FacilityA hospital or hospital-owned outpatient department$589$295 to $776

How much rates vary

Facilitymedian $589 · 10th to 90th $178 to $891Professionalmedian $195 · 10th to 90th $178 to $1,950
$100$200$500$1Kfacility $589professional $195

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
$208.93
Median
$776.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$446.68
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$812.83

Where Nebraska 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.

Nebraska· 13th of 51

$324

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.