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Tumor Test For Fusion Gene Rearrangements

Hawaii 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?

$646

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $575 to $912.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $513 · 10th to 90th $427 to $617Professionalmedian $759 · 10th to 90th $617 to $1,023
$500$1Kfacility $513professional $759

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
$426.58
Median
$512.86
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$616.60
HMSA
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$616.60
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$1,174.90

Where Hawaii 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.

Hawaii· 6th of 51

$646

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.