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Gene Test For Skin Squamous Carcinoma Outlook

California rates for HCPCS 0315U

Predicts how likely a cutaneous squamous cell carcinoma, a common skin cancer, is to spread, so that treatment and follow-up can be matched to the risk. Preserved, formalin-fixed tumor tissue is tested by RT-PCR across forty genes: thirty-four that carry the prognostic signal and six reference genes used as controls. The result is reported as a risk class.

Rates data updated July 2026.

How much does Gene Test For Skin Squamous Carcinoma Outlook cost?

$7,244

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $19,953 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$6,310$3,020 to $7,943
FacilityA hospital or hospital-owned outpatient department$19,953$12,882 to $36,308

How much rates vary

Facilitymedian $19,953 · 10th to 90th $7,586 to $46,774Professionalmedian $6,310 · 10th to 90th $1,549 to $15,136
$100$500$2K$10K$50Kfacility $19,953professional $6,310

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
$9,332.54
Median
$19,952.62
Typical High
$48,977.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,760.83
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$43,651.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$17,378.01
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$12,882.50
Typical High
$23,442.29
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$14,791.08
Typical High
$30,902.95
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$11,481.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$9,332.54
Typical High
$14,791.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$63,095.73
Typical High
$63,095.73
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,232.93
Typical High
$19,054.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,511.38
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$17,782.79

Where California sits

The same service costs 3.5 times more in Alaska 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.

California· 28th of 51

$7,244

AK $19,055AL $5,495

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.