go back

Gene Test For Skin Squamous Carcinoma Outlook

New Jersey 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?

$7,244

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $11,220 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$6,310$5,623 to $7,244
FacilityA hospital or hospital-owned outpatient department$11,220$10,965 to $26,915

How much rates vary

Facilitymedian $11,220 · 10th to 90th $8,511 to $52,481Professionalmedian $6,310 · 10th to 90th $4,467 to $8,511
$200$1K$5K$20Kfacility $11,220professional $6,310

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
$10,964.78
Median
$11,220.18
Typical High
$52,480.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$18,620.87
Typical High
$19,952.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$11,220.18
Typical High
$18,620.87
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$29,512.09
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$8,709.64

Where New Jersey 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.

New Jersey· 29th of 51

$7,244

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.