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Gene Test For Skin Squamous Carcinoma Outlook

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $6,918 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$6,918$5,129 to $7,244
FacilityA hospital or hospital-owned outpatient department$14,791$10,233 to $21,380

How much rates vary

Facilitymedian $14,791 · 10th to 90th $7,244 to $30,200Professionalmedian $6,918 · 10th to 90th $4,677 to $8,511
$5K$10K$20K$50Kfacility $14,791professional $6,918

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
$7,244.36
Median
$14,791.08
Typical High
$30,199.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$7,943.28
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,748.98
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$12,022.64
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$14,125.38
Typical High
$21,379.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$17,782.79
Typical High
$30,199.52
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,511.38
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$11,220.18

Where Pennsylvania 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.

Pennsylvania· 30th 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.