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Gene Test Guiding Chemotherapy Dosing

Virginia 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?

$155

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $186 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 8 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$132$81.28 to $148
FacilityA hospital or hospital-owned outpatient department$186$174 to $380

How much rates vary

Facilitymedian $186 · 10th to 90th $148 to $776Professionalmedian $132 · 10th to 90th $69 to $263
$10.0$100.0$1.0K$10.0Kfacility $186professional $132

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
$131.83
Median
$363.08
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$117.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$436.52
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$363.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$199.53

Where Virginia 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.

Virginia $155 · 33rd 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.