go back

TP53 Gene Test For A Known Family Change

Idaho rates for HCPCS 81353

Checks a blood or saliva sample for one particular change in the TP53 gene that has already been found in a relative. TP53 normally helps stop cells from growing out of control, and inherited changes in it raise the risk of several cancers, sometimes at a young age. Because the exact change being looked for is already known, only that one spot is examined.

Rates data updated October 2026.

How much does TP53 Gene Test For A Known Family Change cost?

$324

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $575 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$263 to $490
FacilityA hospital or hospital-owned outpatient department$575$339 to $776

How much rates vary

Facilitymedian $575 · 10th to 90th $309 to $1,096Professionalmedian $316 · 10th to 90th $129 to $603
$200$500$1Kfacility $575professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$602.56
Typical High
$602.56
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$602.56
Typical High
$1,096.48
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$309.03
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$645.65
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$229.09
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$602.56
Molina
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$269.15
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$457.09
Typical High
$588.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$457.09
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$691.83
Typical High
$1,096.48
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$323.59
Select Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$398.11
Select Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$489.78
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$213.80
Median
$218.78
Typical High
$218.78

Where Idaho sits

The same service costs 4.6 times more in Texas than in Alabama. 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.

Idaho· 18th of 51

$324

TX $794AL $174

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.