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Drug Metabolism Gene Test For Chemotherapy Sensitivity

Washington, DC rates for HCPCS 81350

This laboratory analysis looks for common variations in a gene that affects how the body breaks down certain substances, including a chemotherapy drug used to treat some cancers. Knowing whether a patient has one of these variations can help predict their risk of severe side effects from that chemotherapy drug, allowing the dose to be adjusted in advance. The test is typically run once, using a blood sample.

Rates data updated July 2026.

How much does Drug Metabolism Gene Test For Chemotherapy Sensitivity cost?

$174

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $174 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$174$174 to $182
FacilityA hospital or hospital-owned outpatient department$174$174 to $282

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $398Professionalmedian $174 · 10th to 90th $162 to $224
$100$200$500$1Kfacility $174professional $174

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
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$181.97
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$295.12
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$218.78

Where Washington, DC sits

The same service costs 6.3 times more in Alaska than in Vermont. 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.

Washington, DC· 46th of 51

$174

AK $525VT $83.18

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.