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Tumor Test For Fusion Gene Rearrangements

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $794 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 8 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$447$398 to $955
FacilityA hospital or hospital-owned outpatient department$794$513 to $1,380

How much rates vary

Facilitymedian $794 · 10th to 90th $398 to $1,514Professionalmedian $447 · 10th to 90th $309 to $3,388
$200$500$1K$2Kfacility $794professional $447

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
$398.11
Median
$1,071.52
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$912.01
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86

Where Iowa 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.

Iowa· 18th 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.