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Cancer-Related Gene Mutation Test

Utah 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?

$269

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,413 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 6 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$269$240 to $269
FacilityA hospital or hospital-owned outpatient department$1,413$339 to $1,445

How much rates vary

Facilitymedian $1,413 · 10th to 90th $269 to $1,862Professionalmedian $269 · 10th to 90th $135 to $324
$200$500$1Kfacility $1,413professional $269

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
$269.15
Median
$1,445.44
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,202.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$295.12

Where Utah 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.

Utah· 34th of 51

$269

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.