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Gene Test For Skin Squamous Carcinoma Outlook

Montana 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?

$10,715

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $10,715 for this service. The price depends on where it is billed: about $9,772 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 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$9,772$8,511 to $10,965
FacilityA hospital or hospital-owned outpatient department$10,715$10,715 to $13,183

How much rates vary

Facilitymedian $10,715 · 10th to 90th $8,511 to $16,596Professionalmedian $9,772 · 10th to 90th $3,548 to $13,490
$100$500$2K$10Kfacility $10,715professional $9,772

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
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,715.19
Typical High
$16,595.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$10,715.19
Typical High
$16,595.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$13,182.57
Typical High
$18,620.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$10,715.19
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$8,511.38

Where Montana 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.

Montana· 6th of 51

$10,715

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.