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Gene Test For Skin Squamous Carcinoma Outlook

Texas 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?

$6,457

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $10,000 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 9 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$5,623$5,129 to $6,761
FacilityA hospital or hospital-owned outpatient department$10,000$6,457 to $15,849

How much rates vary

Facilitymedian $10,000 · 10th to 90th $5,129 to $35,481Professionalmedian $5,623 · 10th to 90th $4,677 to $8,511
$100$1K$10Kfacility $10,000professional $5,623

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
$5,248.07
Median
$10,715.19
Typical High
$37,153.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,918.31
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$12,302.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$63,095.73
Typical High
$63,095.73
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$12,882.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,511.38
Typical High
$10,715.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,120.11
Typical High
$18,197.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,317.64
Typical High
$15,848.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,912.51
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,511.38
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$8,511.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$8,511.38
Typical High
$11,481.54

Where Texas 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.

Texas· 41st of 51

$6,457

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.