go back

Gene Test Guiding Chemotherapy Dosing

South 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?

$141

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $324 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$135$135 to $145
FacilityA hospital or hospital-owned outpatient department$324$135 to $562

How much rates vary

Facilitymedian $324 · 10th to 90th $123 to $832Professionalmedian $135 · 10th to 90th $105 to $182
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $324professional $135

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
$123.03
Median
$426.58
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$173.78

Where South 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.

South Carolina $141 · 44th 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.