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Tumor Test For Fusion Gene Rearrangements

Arizona 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?

$417

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $794 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 5 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$389$347 to $427
FacilityA hospital or hospital-owned outpatient department$794$513 to $1,585

How much rates vary

Facilitymedian $794 · 10th to 90th $363 to $2,089Professionalmedian $389 · 10th to 90th $219 to $603
$200$500$1K$2Kfacility $794professional $389

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
$549.54
Median
$794.33
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,479.11
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$467.74
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$954.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$512.86

Where Arizona 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.

Arizona· 45th of 51

$417

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.