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Cancer-Related Gene Mutation Test

New Mexico 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?

$355

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $955 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 5 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$324$224 to $355
FacilityA hospital or hospital-owned outpatient department$955$447 to $1,820

How much rates vary

Facilitymedian $955 · 10th to 90th $269 to $2,512Professionalmedian $324 · 10th to 90th $123 to $1,950
$100$500$2K$10K$50Kfacility $955professional $324

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
$446.68
Median
$891.25
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,584.89
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$309.03
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$549.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$269.15
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$234.42

Where New Mexico 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.

New Mexico· 11th of 51

$355

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.