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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 October 2026.

How much does Cancer-Related Gene Mutation Test cost?

$295

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $178 to $603.

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.

How much rates vary

Facilitymedian $550 · 10th to 90th $224 to $759Professionalmedian $263 · 10th to 90th $135 to $2,239
$100$200$500$1K$2Kfacility $550professional $263

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
$223.87
Median
$234.42
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$234.42
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$117.49
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$46.77
Typical High
$67.61
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$602.56
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$295.12

Where Tennessee 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.

Tennessee· 26th of 51

$295

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.