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Cancer-Related Gene Mutation Test

Vermont 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.

Facilitymedian $295 · 10th–90th $288$4900%20%40%10th90th$295Professionalmedian $363 · 10th–90th $209$3630%20%40%10th$363$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$346.74
Typical High
$446.68
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$645.65