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Cancer-Related Gene Mutation Test

Rhode Island 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?

$219

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $646 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 4 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$219$209 to $224
FacilityA hospital or hospital-owned outpatient department$646$355 to $912

How much rates vary

Facilitymedian $646 · 10th to 90th $339 to $1,349Professionalmedian $219 · 10th to 90th $178 to $295
$200$500$1Kfacility $646professional $219

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
$354.81
Median
$851.14
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$426.58

Where Rhode Island 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.

Rhode Island· 50th of 51

$219

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.