go back

Tumor Test For Fusion Gene Rearrangements

Washington, DC 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?

$389

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $389 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$380 to $407
FacilityA hospital or hospital-owned outpatient department$389$389 to $617

How much rates vary

Facilitymedian $389 · 10th to 90th $389 to $871Professionalmedian $389 · 10th to 90th $372 to $661
$200$500$1K$2Kfacility $389professional $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. 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
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,047.13
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$2,344.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$489.78

Where Washington, DC 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.

Washington, DC· 48th of 51

$389

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.