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Gene Test Guiding Chemotherapy Dosing

New Jersey 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 October 2026.

How much does Gene Test Guiding Chemotherapy Dosing cost?

$123

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $4,571 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$95.50 to $123
FacilityA hospital or hospital-owned outpatient department$4,571$389 to $15,849

How much rates vary

Facilitymedian $4,571 · 10th to 90th $182 to $21,878Professionalmedian $123 · 10th to 90th $93 to $209
$100$500$2K$10Kfacility $4,571professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$46.77
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$489.78
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$208.93
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$229.09
Typical High
$251.19
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$14,454.40
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$173.78

Where New Jersey sits

The same service costs 3.7 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 47th of 51

$123

AK $389DE $105

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.