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Cancer-Related Gene Mutation Test

New Jersey 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?

$209

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $1,862 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$209$162 to $209
FacilityA hospital or hospital-owned outpatient department$1,862$646 to $13,490

How much rates vary

Facilitymedian $1,862 · 10th to 90th $288 to $20,893Professionalmedian $209 · 10th to 90th $148 to $355
$100$500$2K$10Kfacility $1,862professional $209

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
$158.49
Median
$194.98
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$251.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$50.12
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$870.96
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$831.76
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$346.74
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$389.05
Typical High
$426.58
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$295.12

Where New Jersey 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.

New Jersey· 45th of 51

$209

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.