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Gene Test Guiding Chemotherapy Dosing

Texas 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?

$132

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $209 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 10 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$112$95.50 to $166
FacilityA hospital or hospital-owned outpatient department$209$132 to $324

How much rates vary

Facilitymedian $209 · 10th to 90th $107 to $813Professionalmedian $112 · 10th to 90th $5 to $209
$2.0$10.0$50.0$200.0$1.0Kfacility $209professional $112

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
$107.15
Median
$245.47
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$95.50
Typical High
$95.50
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$316.23
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,318.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$234.42

Where Texas 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.

Texas $132 · 46th 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.