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TP53 Gene Test For A Known Family Change

New York 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 July 2026.

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

$302

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $479 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 9 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$251$166 to $363
FacilityA hospital or hospital-owned outpatient department$479$309 to $708

How much rates vary

Facilitymedian $479 · 10th to 90th $214 to $851Professionalmedian $251 · 10th to 90th $123 to $603
$200$500$1K$2Kfacility $479professional $251

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
$251.19
Median
$524.81
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$602.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$309.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$660.69
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$398.11
Typical High
$1,122.02
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$851.14
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$588.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$363.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$398.11
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$676.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$363.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$549.54

Where New York sits

The same service costs 3.4 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.

New York· 26th of 51

$302

AK $692DE $204

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.