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Gene Test Guiding Chemotherapy Dosing

North Carolina 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?

$148

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $155 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 6 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$141$141 to $182
FacilityA hospital or hospital-owned outpatient department$155$141 to $257

How much rates vary

Facilitymedian $155 · 10th to 90th $132 to $589Professionalmedian $141 · 10th to 90th $115 to $282
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $155professional $141

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
$154.88
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$380.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$186.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,318.26

Where North Carolina 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.

North Carolina $148 · 37th 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.