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Tumor Test For Fusion Gene Rearrangements

Delaware 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?

$347

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $275 to $603.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $603 · 10th to 90th $603 to $603Professionalmedian $347 · 10th to 90th $275 to $1,549
$200$500$1Kfacility $603professional $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. 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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$776.25

Where Delaware 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.

Delaware· 51st of 51

$347

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.