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Gene Test Guiding Chemotherapy Dosing

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 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 8 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$174$141 to $174
FacilityA hospital or hospital-owned outpatient department$347$224 to $501

How much rates vary

Facilitymedian $347 · 10th to 90th $129 to $575Professionalmedian $174 · 10th to 90th $105 to $437
$100.0$1.0K$10.0Kfacility $347professional $174

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
$123.03
Median
$331.13
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$524.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$575.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$213.80
Typical High
$363.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$1,000.00
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$316.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$575.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$398.11

Where Massachusetts 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.

Massachusetts $174 · 23rd 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.