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Cancer-Related Gene Mutation Test

Ohio 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?

$240

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $331 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 8 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$234$151 to $275
FacilityA hospital or hospital-owned outpatient department$331$282 to $537

How much rates vary

Facilitymedian $331 · 10th to 90th $219 to $661Professionalmedian $234 · 10th to 90th $117 to $427
$200$500$1Kfacility $331professional $234

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
$218.78
Median
$416.87
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$588.84
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$1,659.59
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$323.59
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$407.38

Where Ohio 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.

Ohio· 42nd of 51

$240

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.