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Gene Test For Skin Squamous Carcinoma Outlook

Kentucky 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?

$5,888

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $5,888 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $10,715 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$5,129$1,549 to $7,079
FacilityA hospital or hospital-owned outpatient department$10,715$6,918 to $20,417

How much rates vary

Facilitymedian $10,715 · 10th to 90th $6,918 to $123,027Professionalmedian $5,129 · 10th to 90th $1,318 to $10,233
$2K$5K$10K$20K$50K$100K$200Kfacility $10,715professional $5,129

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
$6,918.31
Median
$6,918.31
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$6,918.31
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$1,548.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$56,234.13
Typical High
$213,796.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$12,022.64
Typical High
$158,489.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$12,302.69
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$40,738.03
Typical High
$40,738.03
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$8,511.38

Where Kentucky 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.

Kentucky· 46th of 51

$5,888

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.