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Tumor Test For Fusion Gene Rearrangements

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $692 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 7 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$490$363 to $513
FacilityA hospital or hospital-owned outpatient department$692$513 to $933

How much rates vary

Facilitymedian $692 · 10th to 90th $417 to $1,288Professionalmedian $490 · 10th to 90th $309 to $832
$200$500$1Kfacility $692professional $490

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
$346.74
Median
$467.74
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,148.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$707.95

Where Georgia 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.

Georgia· 19th 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.