go back

Tumor Gene Fusion Test (NTRK Family)

West Virginia rates for HCPCS 81192

A laboratory test performed on a tissue sample from a tumor that looks for a rearrangement in which part of an NTRK gene has become joined to a different gene. Tumors carrying one of these fusions can sometimes be treated with a drug aimed specifically at the abnormal protein it produces. The test examines the tumor material itself.

Rates data updated July 2026.

How much does Tumor Gene Fusion Test (NTRK Family) cost?

$170

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $257 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 4 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$166$155 to $178
FacilityA hospital or hospital-owned outpatient department$257$170 to $309

How much rates vary

Facilitymedian $257 · 10th to 90th $170 to $309Professionalmedian $166 · 10th to 90th $138 to $178
$100$200$500$1Kfacility $257professional $166

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
$257.04
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$229.09

Where West Virginia 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.

West Virginia· 42nd 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.