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Tumor Test For Fusion Gene Rearrangements

Missouri 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 Missouri, 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 $676 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 6 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$251 to $617
FacilityA hospital or hospital-owned outpatient department$676$513 to $912

How much rates vary

Facilitymedian $676 · 10th to 90th $501 to $1,202Professionalmedian $447 · 10th to 90th $209 to $1,000
$200$500$1K$2Kfacility $676professional $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
$501.19
Median
$870.96
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$707.95

Where Missouri 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.

Missouri· 17th 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.