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Tumor Drug Sensitivity Laboratory Test

Wisconsin rates for HCPCS 0564T

A sample of the patient's tumor is grown in the laboratory and exposed to a range of cancer medicines to see which of them kill the cells. The results are reported to the care team to help choose the treatment most likely to work for that person.

Rates data updated July 2026.

How much does Tumor Drug Sensitivity Laboratory Test cost?

$91.20

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$79.43$43.65 to $200
FacilityA hospital or hospital-owned outpatient department$138$95.50 to $170

How much rates vary

Facilitymedian $138 · 10th to 90th $71 to $200Professionalmedian $79 · 10th to 90th $36 to $200
$50$100$200facility $138professional $79

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$57.54

Where Wisconsin sits

The same service costs 1659.6 times more in Kentucky than in North Carolina. 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.

Wisconsin· 12th of 37

$91.20

KY $41,687NC $25.12

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.