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Tumor Test For Fusion Gene Rearrangements

Connecticut 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?

$513

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $724 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$347$309 to $692
FacilityA hospital or hospital-owned outpatient department$724$513 to $1,096

How much rates vary

Facilitymedian $724 · 10th to 90th $513 to $1,413Professionalmedian $347 · 10th to 90th $275 to $1,148
$200$500$1K$2Kfacility $724professional $347

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
$707.95
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$512.86
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$1,071.52
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$870.96

Where Connecticut 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.

Connecticut· 26th of 51

$513

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.