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Tumor Test For Fusion Gene Rearrangements

Mississippi 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?

$550

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $550 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 4 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$550$398 to $933
FacilityA hospital or hospital-owned outpatient department$550$513 to $933

How much rates vary

Facilitymedian $550 · 10th to 90th $468 to $933Professionalmedian $550 · 10th to 90th $309 to $1,047
$200$500$1Kfacility $550professional $550

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
$512.86
Median
$933.25
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$758.58
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
$891.25

Where Mississippi 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.

Mississippi· 13th of 51

$550

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.