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Cancer-Related Gene Mutation Test

Virginia 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?

$295

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $339 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 8 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$224$141 to $282
FacilityA hospital or hospital-owned outpatient department$339$295 to $661

How much rates vary

Facilitymedian $339 · 10th to 90th $251 to $1,288Professionalmedian $224 · 10th to 90th $117 to $562
$100$200$500$1K$2K$5K$10Kfacility $339professional $224

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
$251.19
Median
$660.69
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$199.53
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$891.25
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$724.44
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$616.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$338.84

Where Virginia 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.

Virginia· 23rd of 51

$295

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.