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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 October 2026.

How much does Cancer-Related Gene Mutation Test cost?

$229

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $355 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$117 to $251
FacilityA hospital or hospital-owned outpatient department$355$302 to $468

How much rates vary

Facilitymedian $355 · 10th to 90th $269 to $646Professionalmedian $151 · 10th to 90th $117 to $417
$100$200$500$1Kfacility $355professional $151

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
$234.42
Median
$426.58
Typical High
$707.95
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$213.80
Typical High
$354.81
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$85.11
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$758.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$117.49
Typical High
$380.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$47.86
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$346.74
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$371.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$354.81
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$138.04
Typical High
$416.87
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$1,202.26
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$138.04
Typical High
$389.05
Molina
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$269.15
Typical High
$363.08
SummaCare
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$269.15
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$426.58

Where Ohio 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.

Ohio· 41st of 51

$229

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.