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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 July 2026.

How much does Cancer-Related Gene Mutation Test cost?

$240

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $372 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 4 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$234$219 to $251
FacilityA hospital or hospital-owned outpatient department$372$240 to $447

How much rates vary

Facilitymedian $372 · 10th to 90th $240 to $575Professionalmedian $234 · 10th to 90th $200 to $251
$200$500$1Kfacility $372professional $234

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
$239.88
Median
$371.54
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$891.25
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$323.59

Where West 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.

West Virginia· 41st of 51

$240

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.