go back

Gene Test For Skin Squamous Carcinoma Outlook

Massachusetts 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?

$8,511

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,511 from a physician practice, and about $15,849 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 7 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$8,511$6,310 to $8,511
FacilityA hospital or hospital-owned outpatient department$15,849$10,715 to $25,119

How much rates vary

Facilitymedian $15,849 · 10th to 90th $5,888 to $27,542Professionalmedian $8,511 · 10th to 90th $5,129 to $13,804
$5K$10K$20Kfacility $15,849professional $8,511

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
$5,888.44
Median
$19,054.61
Typical High
$27,542.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,888.44
Typical High
$6,918.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$22,908.68
Typical High
$40,738.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,456.54
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$10,471.29
Typical High
$12,302.69
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$14,454.40
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$14,454.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$13,803.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$22,908.68
Typical High
$40,738.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$14,791.08

Where Massachusetts 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.

Massachusetts· 18th of 51

$8,511

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.