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Tumor Test For Fusion Gene Rearrangements

Alabama 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?

$537

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $603 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$407$309 to $603
FacilityA hospital or hospital-owned outpatient department$603$513 to $708

How much rates vary

Facilitymedian $603 · 10th to 90th $468 to $851Professionalmedian $407 · 10th to 90th $309 to $603
$200$500$1Kfacility $603professional $407

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
$512.86
Median
$602.56
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$512.86

Where Alabama 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.

Alabama· 14th of 51

$537

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.