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Gene Test For Skin Squamous Carcinoma Outlook

North Carolina 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?

$6,761

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,761 from a physician practice, and about $7,413 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$6,761$6,761 to $8,511
FacilityA hospital or hospital-owned outpatient department$7,413$6,761 to $10,233

How much rates vary

Facilitymedian $7,413 · 10th to 90th $6,761 to $18,621Professionalmedian $6,761 · 10th to 90th $5,623 to $13,490
$5K$10K$20Kfacility $7,413professional $6,761

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
$6,760.83
Median
$6,760.83
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,760.83
Typical High
$6,760.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,511.38
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$18,620.87
Typical High
$38,904.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,413.10
Typical High
$10,471.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,000.00
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$8,912.51
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$63,095.73

Where North Carolina 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.

North Carolina· 39th of 51

$6,761

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.