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FGFR3 Alteration Test In Bladder Tumors

New Mexico rates for HCPCS 0154U

Checks bladder (urothelial) cancer tissue for six alterations in the FGFR3 gene, covering both point mutations in the gene and FGFR3-TACC3 fusion transcripts. FGFR3 changes matter to how the tumor behaves and to treatment planning.

Rates data updated July 2026.

How much does FGFR3 Alteration Test In Bladder Tumors cost?

$363

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $437 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$363$87.10 to $363
FacilityA hospital or hospital-owned outpatient department$437$186 to $933

How much rates vary

Facilitymedian $437 · 10th to 90th $174 to $1,445Professionalmedian $363 · 10th to 90th $87 to $363
$100$200$500$1Kfacility $437professional $363

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
$1,445.44
Median
$1,445.44
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$204.17

Where New Mexico sits

The same service costs 10.0 times more in Alaska than in Kentucky. 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 Mexico· 36th of 51

$363

AK $1,096KY $110

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.