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Genetic Test For Thiopurine Drug Handling

Kentucky rates for HCPCS 81335

A blood or saliva test that looks for common inherited changes in a gene controlling how the body breaks down a group of medicines used for leukemia, inflammatory bowel disease, and some autoimmune conditions. People carrying these changes clear the drug slowly and can develop dangerously low blood counts on a standard dose. The result is used to set a safe starting dose or to choose a different medicine.

Rates data updated July 2026.

How much does Genetic Test For Thiopurine Drug Handling cost?

$138

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $174 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 5 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$120$69.18 to $145
FacilityA hospital or hospital-owned outpatient department$174$145 to $263

How much rates vary

Facilitymedian $174 · 10th to 90th $145 to $417Professionalmedian $120 · 10th to 90th $69 to $204
$100$200$500facility $174professional $120

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
$144.54
Median
$144.54
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$173.78

Where Kentucky 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.

Kentucky· 46th of 51

$138

AK $389DE $117

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.