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Tumor Test For Fusion Gene Rearrangements

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 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 8 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$513$490 to $759
FacilityA hospital or hospital-owned outpatient department$513$513 to $794

How much rates vary

Facilitymedian $513 · 10th to 90th $513 to $1,445Professionalmedian $513 · 10th to 90th $437 to $1,000
$200$500$1K$2Kfacility $513professional $513

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
$676.08
Median
$977.24
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$575.44
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$1,348.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$724.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$575.44
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$776.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,548.82
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$436.52
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$616.60

Where Oregon 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.

Oregon· 16th 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.