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T-Cell Clonality Gene Test

Vermont rates for HCPCS 81342

A laboratory test on blood, bone marrow or tissue that examines a T-cell receptor gene to see whether a large group of identical immune cells is present. A normal immune reaction produces many different cells, so one dominant population instead points toward a lymphoma or leukemia. The result helps separate a cancerous growth from a reactive process.

Rates data updated July 2026.

How much does T-Cell Clonality Gene Test cost?

$166

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $347 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$162$162 to $191
FacilityA hospital or hospital-owned outpatient department$347$339 to $398

How much rates vary

Facilitymedian $347 · 10th to 90th $200 to $398Professionalmedian $162 · 10th to 90th $162 to $251
$200$500facility $347professional $162

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$501.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$549.54

Where Vermont sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Vermont· 47th of 51

$166

AK $457DC $151

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.