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Gene Test Guiding Chemotherapy Dosing

Rhode Island 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?

$129

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $263 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 4 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$129$123 to $132
FacilityA hospital or hospital-owned outpatient department$263$200 to $794

How much rates vary

Facilitymedian $263 · 10th to 90th $174 to $1,000Professionalmedian $129 · 10th to 90th $105 to $174
$100.0$200.0$500.0$1.0Kfacility $263professional $129

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$251.19

Where Rhode Island 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.

Rhode Island $129 · 49th 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.