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Gene Test Guiding Chemotherapy Dosing

Colorado rates for HCPCS 81346

A laboratory test that examines one particular gene in a blood sample for specific known variations that change how the body handles a chemotherapy medicine. People carrying certain versions clear the medicine faster or slower than usual, which alters how much benefit and how much side effect a standard dose produces. The result helps the treating team set the dose or choose between medicines; it is not used to diagnose a condition.

Rates data updated July 2026.

How much does Gene Test Guiding Chemotherapy Dosing cost?

$186

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $427 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 7 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$132$105 to $141
FacilityA hospital or hospital-owned outpatient department$427$234 to $724

How much rates vary

Facilitymedian $427 · 10th to 90th $135 to $891Professionalmedian $132 · 10th to 90th $74 to $186
$100.0$200.0$500.0$1.0Kfacility $427professional $132

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
$109.65
Median
$380.19
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$251.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$128.82

Where Colorado sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $186 · 14th of 51
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.