go back

Tumor Test For Fusion Gene Rearrangements

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $339 to $437.

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 $871 · 10th to 90th $219 to $871Professionalmedian $389 · 10th to 90th $234 to $617
$200$500$1K$2Kfacility $871professional $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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$407.38

Where Maryland 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.

Maryland· 47th 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.