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Tumor Test For Fusion Gene Rearrangements

North Dakota 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?

$776

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $776 for this service. Most negotiated rates run $490 to $1,047.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $363 · 10th to 90th $363 to $933Professionalmedian $871 · 10th to 90th $363 to $1,175
$500$1Kfacility $363professional $871

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
$363.08
Median
$363.08
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$616.60
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$794.33

Where North Dakota 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.

North Dakota· 3rd of 51

$776

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.