go back

California rates for HCPCS 0315U

Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a categorical risk result (ie, Class 1, Class 2A, Class 2B)

Facilitymedian $29,512 · 10th–90th $8,511$48,9780%10%10th90th$29,512Professionalmedian $6,918 · 10th–90th $2,089$14,7910%10%10th90th$6,918$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $34,673.69 / $57,543.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,918.31 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $42,657.95 / $43,651.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $17,378.01
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $13,489.63 / $23,442.29
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,606.93 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,125.38 / $28,183.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,332.54 / $11,481.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $9,332.54 / $14,791.08
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42,657.95 / $63,095.73 / $63,095.73
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $10,232.93 / $19,054.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,332.54 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $8,511.38 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $16,982.44