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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 July 2026.

How much does Gene Test Guiding Chemotherapy Dosing cost?

$148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $295 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$138$105 to $148
FacilityA hospital or hospital-owned outpatient department$295$229 to $813

How much rates vary

Facilitymedian $295 · 10th to 90th $174 to $1,738Professionalmedian $138 · 10th to 90th $93 to $219
$100.0$1.0K$10.0K$100.0Kfacility $295professional $138

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
$223.87
Median
$234.42
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$331.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$181.97

Where New Jersey 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.

New Jersey $148 · 39th 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.