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NTRK Gene Fusion Test on Tumor Tissue

North Dakota 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?

$269

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $209 to $355.

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.

How much rates vary

Facilitymedian $145 · 10th to 90th $145 to $245Professionalmedian $302 · 10th to 90th $105 to $417
$100$200$500facility $145professional $302

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$194.98
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$354.81
Typical High
$416.87
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$288.40
Median
$426.58
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$436.52
Medica
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$251.19
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$229.09
Typical High
$302.00

Where North Dakota 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.

North Dakota· 7th of 51

$269

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.