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Tumor Gene Fusion Test (NTRK Family)

Michigan rates for HCPCS 81193

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 October 2026.

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

$195

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $195 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$155 to $209
FacilityA hospital or hospital-owned outpatient department$195$195 to $275

How much rates vary

Facilitymedian $195 · 10th to 90th $155 to $398Professionalmedian $195 · 10th to 90th $123 to $251
$10$20$50$100$200$500facility $195professional $195

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
$194.98
Median
$194.98
Typical High
$309.03
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$154.88
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$39.81
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$204.17
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$102.33
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$40.74
Typical High
$41.69
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$234.42
Typical High
$398.11
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$281.84
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$575.44
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$154.88
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$39.81
Typical High
$61.66
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$199.53
Typical High
$263.03
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Priority Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$102.33
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$186.21
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$123.03
Typical High
$208.93

Where Michigan sits

The same service costs 5.2 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.

Michigan· 29th of 51

$195

TX $646OK $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.