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Gene Test For Skin Squamous Carcinoma Outlook

Washington, DC 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?

$6,310

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $6,310 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$6,310$6,310 to $6,310
FacilityA hospital or hospital-owned outpatient department$6,310$6,310 to $10,233

How much rates vary

Facilitymedian $6,310 · 10th to 90th $6,310 to $14,454Professionalmedian $6,310 · 10th to 90th $6,166 to $6,607
$5K$10K$20Kfacility $6,310professional $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. 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
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,606.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$32,359.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$10,964.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,801.89
Typical High
$7,943.28

Where Washington, DC 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.

Washington, DC· 44th of 51

$6,310

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.