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Gene Test For Skin Squamous Carcinoma Outlook

New York 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?

$5,888

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,888 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $14,791 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 8 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$4,677$1,549 to $6,918
FacilityA hospital or hospital-owned outpatient department$14,791$8,913 to $19,953

How much rates vary

Facilitymedian $14,791 · 10th to 90th $6,918 to $23,442Professionalmedian $4,677 · 10th to 90th $1,549 to $8,511
$2K$5K$10K$20Kfacility $14,791professional $4,677

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
$6,918.31
Median
$15,135.61
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,606.93
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$40,738.03
Typical High
$40,738.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,125.38
Typical High
$32,359.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$10,964.78
Typical High
$16,595.87
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,317.64
Typical High
$15,135.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$15,848.93
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$8,511.38
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,511.38
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$11,748.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,912.51
Typical High
$9,772.37
Univera
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,511.38
Typical High
$20,417.38

Where New York 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 York· 47th of 51

$5,888

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.