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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 July 2026.

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

$170

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $316 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 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$170$135 to $195
FacilityA hospital or hospital-owned outpatient department$316$214 to $417

How much rates vary

Facilitymedian $316 · 10th to 90th $170 to $537Professionalmedian $170 · 10th to 90th $3 to $347
$5$20$100$500$2Kfacility $316professional $170

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
$169.82
Median
$316.23
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$144.54
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$478.63
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$251.19
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$218.78

Where Illinois sits

The same service costs 3.4 times more in Alaska than in Delaware. 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· 40th of 51

$170

AK $468DE $138

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.