go back

Cancer-Related Gene Mutation Test

Tennessee 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?

$251

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $479 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$234$224 to $295
FacilityA hospital or hospital-owned outpatient department$479$269 to $977

How much rates vary

Facilitymedian $479 · 10th to 90th $224 to $1,288Professionalmedian $234 · 10th to 90th $155 to $355
$100$200$500$1K$2Kfacility $479professional $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
$223.87
Median
$812.83
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$602.56
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$407.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$295.12

Where Tennessee 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.

Tennessee· 36th of 51

$251

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.