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Gene Test Guiding Chemotherapy Dosing

Connecticut 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?

$174

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $275 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$117$105 to $229
FacilityA hospital or hospital-owned outpatient department$275$174 to $372

How much rates vary

Facilitymedian $275 · 10th to 90th $174 to $490Professionalmedian $117 · 10th to 90th $93 to $389
$50.0$100.0$200.0$500.0$1.0Kfacility $275professional $117

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
$173.78
Median
$251.19
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$354.81
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$302.00

Where Connecticut 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.

Connecticut $174 · 17th 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.