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Tumor Test For Fusion Gene Rearrangements

Nebraska 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?

$468

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $513 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$339$339 to $1,380
FacilityA hospital or hospital-owned outpatient department$513$363 to $1,259

How much rates vary

Facilitymedian $513 · 10th to 90th $309 to $1,380Professionalmedian $339 · 10th to 90th $309 to $3,388
$200$500$1K$2Kfacility $513professional $339

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
$1,380.38
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$489.78
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$1,445.44

Where Nebraska 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.

Nebraska· 32nd of 51

$468

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.