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Gene Test Guiding Chemotherapy Dosing

Florida 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?

$126

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $288 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$123$105 to $148
FacilityA hospital or hospital-owned outpatient department$288$158 to $501

How much rates vary

Facilitymedian $288 · 10th to 90th $132 to $871Professionalmedian $123 · 10th to 90th $93 to $174
$5.0$20.0$100.0$500.0facility $288professional $123

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
$131.83
Median
$288.40
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$158.49
AvMed
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$204.17
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$302.00
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$158.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$229.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$173.78

Where Florida 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.

Florida $126 · 50th 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.