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Cancer-Related Gene Mutation Test

West 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 October 2026.

How much does Cancer-Related Gene Mutation Test cost?

$288

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $575 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$148 to $427
FacilityA hospital or hospital-owned outpatient department$575$245 to $891

How much rates vary

Facilitymedian $575 · 10th to 90th $234 to $912Professionalmedian $240 · 10th to 90th $123 to $550
$100$200$500$1Kfacility $575professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$239.88
Typical High
$251.19
CareSource
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$354.81
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$724.44
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$416.87
Typical High
$1,412.54
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$549.54

Where West Virginia 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.

West Virginia· 27th of 51

$288

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.