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Broad Tumor Genetic Profiling

New York rates for HCPCS 0037U

A laboratory test that reads DNA from a tumor sample across a large number of genes at once, looking for changes that can steer which cancer treatments are likely to help. The report sets out the meaningful changes found and what they mean for treatment.

Facilitymedian $6,607 · 10th–90th $2,951$10,4710%10%10th90th$6,607Professionalmedian $2,630 · 10th–90th $240$4,7860%10%20%10th90th$2,630$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$7,413.10
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,413.10
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,128.61
Typical High
$16,982.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$13,489.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,760.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,311.31
Typical High
$6,309.57
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,606.93
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,467.37
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,677.35
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$3,981.07
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$8,317.64