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NTRK Gene Fusion Test on Tumor Tissue

Illinois rates for HCPCS 81191

A laboratory test performed on a sample of tumor tissue that looks for a rearrangement in which an NTRK gene has become joined to a different gene, creating an abnormal growth signal. Tumors carrying this change often respond to drugs designed specifically to block it, so the result helps choose treatment. The change arises inside the tumor and is not inherited from a parent.

Rates data updated October 2026.

How much does NTRK Gene Fusion Test on Tumor Tissue cost?

$158

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $380 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$107 to $178
FacilityA hospital or hospital-owned outpatient department$380$251 to $794

How much rates vary

Facilitymedian $380 · 10th to 90th $234 to $1,660Professionalmedian $158 · 10th to 90th $3 to $302
$10$100$1Kfacility $380professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$331.13
Typical High
$630.96
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$162.18
Typical High
$316.23
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$64.57
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$169.82
Typical High
$186.21
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$93.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$33.88
Typical High
$37.15
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$302.00
Typical High
$2,691.53
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$144.54
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$269.15
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$309.03
Typical High
$478.63
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$251.19
Typical High
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$123.03
Typical High
$223.87

Where Illinois sits

The same service costs 4.3 times more in Texas than in Oklahoma. 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.

Illinois· 43rd of 51

$158

TX $525OK $123

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.