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Gene Test Guiding Chemotherapy Dosing

Ohio 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?

$141

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $219 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$74.13 to $155
FacilityA hospital or hospital-owned outpatient department$219$182 to $295

How much rates vary

Facilitymedian $219 · 10th to 90th $158 to $398Professionalmedian $105 · 10th to 90th $69 to $263
$100$200$500$1Kfacility $219professional $105

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
$165.96
Median
$302.00
Typical High
$436.52
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$151.36
Typical High
$218.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$60.26
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$69.18
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.18
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$79.43
Typical High
$234.42
CareSource
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$81.28
Typical High
$245.47
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$218.78
Typical High
$724.44
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$229.09
Molina
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$275.42
United
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$251.19

Where Ohio 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.

Ohio· 40th of 51

$141

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.