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Gene Test For Skin Squamous Carcinoma Outlook

Maine 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 Maine, 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 $8,511 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 6 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$6,918 to $8,511
FacilityA hospital or hospital-owned outpatient department$8,511$8,511 to $19,498

How much rates vary

Facilitymedian $8,511 · 10th to 90th $8,511 to $21,380Professionalmedian $8,511 · 10th to 90th $4,365 to $8,511
$2K$5K$10K$20Kfacility $8,511professional $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
$8,511.38
Median
$8,511.38
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$3,801.89
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,232.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$21,379.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$12,302.69

Where Maine 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.

Maine· 17th 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.