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Genetic Test For Thiopurine Drug Handling

New Jersey 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?

$148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $295 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$141$107 to $148
FacilityA hospital or hospital-owned outpatient department$295$229 to $794

How much rates vary

Facilitymedian $295 · 10th to 90th $174 to $1,738Professionalmedian $141 · 10th to 90th $93 to $219
$100$500$2K$10Kfacility $295professional $141

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
$181.97
Median
$234.42
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$331.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$181.97

Where New Jersey 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.

New Jersey· 41st of 51

$148

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.