go back

Tumor Test For Fusion Gene Rearrangements

Alaska rates for HCPCS 81194

A laboratory test on a tumor sample that looks for rearrangements in a family of related genes that can become abnormally joined to other genes and drive cancer growth. The test covers the whole group of these genes together rather than one at a time. Finding a rearrangement identifies patients who may respond to a specific targeted cancer medicine.

Rates data updated July 2026.

How much does Tumor Test For Fusion Gene Rearrangements cost?

$1,175

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,905 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 6 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$1,175$513 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,905$513 to $3,631

How much rates vary

Facilitymedian $1,905 · 10th to 90th $513 to $4,074Professionalmedian $1,175 · 10th to 90th $363 to $1,738
$500$1K$2K$5Kfacility $1,905professional $1,175

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. 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
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,548.82
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$575.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,659.59
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$2,089.30
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,445.44
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$1,548.82

Where Alaska 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.

Alaska· 1st of 51

$1,175

AK $1,175DE $347

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.