go back

Gene Test Guiding Chemotherapy Dosing

West 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 October 2026.

How much does Gene Test Guiding Chemotherapy Dosing cost?

$148

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $339 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$87.10 to $251
FacilityA hospital or hospital-owned outpatient department$339$145 to $437

How much rates vary

Facilitymedian $339 · 10th to 90th $145 to $525Professionalmedian $145 · 10th to 90th $74 to $324
$100$200$500facility $339professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$147.91
CareSource
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$338.84
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$245.47
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$87.10
Typical High
$323.59

Where West Virginia 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.

West Virginia· 38th of 51

$148

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.