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APC Gene RNA Analysis

Georgia rates for HCPCS 0157U

Examines the APC gene, the gene behind familial adenomatous polyposis, an inherited condition in which many polyps form in the colon, by reading its RNA rather than only its DNA. It is added to a main genetic test to clarify whether an APC change affects how the gene works.

Rates data updated October 2026.

How much does APC Gene RNA Analysis cost?

$282

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $372 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$219 to $288
FacilityA hospital or hospital-owned outpatient department$372$240 to $457

How much rates vary

Facilitymedian $372 · 10th to 90th $186 to $692Professionalmedian $282 · 10th to 90th $182 to $398
$200$500$1Kfacility $372professional $282

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
$186.21
Median
$186.21
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$218.78
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$309.03
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$281.84
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$616.60
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$323.59
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$281.84
Median
$380.19
Typical High
$501.19
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$169.82
Typical High
$602.56
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
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$275.42
Median
$416.87
Typical High
$691.83

Where Georgia sits

The same service costs 12.0 times more in Texas than in New Mexico. 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.

Georgia· 30th of 51

$282

TX $1,413NM $117

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.