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Cancer-Related Gene Mutation Test

South Carolina 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?

$234

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $550 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$229$229 to $257
FacilityA hospital or hospital-owned outpatient department$550$229 to $955

How much rates vary

Facilitymedian $550 · 10th to 90th $229 to $1,413Professionalmedian $229 · 10th to 90th $178 to $309
$200$500$1Kfacility $550professional $229

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
$208.93
Median
$724.44
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$295.12

Where South Carolina 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.

South Carolina· 44th of 51

$234

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.