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Cancer-Related Gene Mutation Test

New York 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.

Facilitymedian $468 · 10th–90th $209$8130%10%10th90th$468Professionalmedian $240 · 10th–90th $117$5750%10%20%10th90th$240$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$512.86
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$575.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$295.12
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$630.96
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$371.54
Typical High
$1,071.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$794.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$524.81
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$524.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$380.19
Typical High
$1,548.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$645.65
Univera
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$363.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$588.84