go back

Tumor Test For Fusion Gene Rearrangements

Tennessee 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?

$417

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $646 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 5 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$407$389 to $513
FacilityA hospital or hospital-owned outpatient department$646$427 to $1,862

How much rates vary

Facilitymedian $646 · 10th to 90th $389 to $2,239Professionalmedian $407 · 10th to 90th $269 to $617
$100$200$500$1K$2Kfacility $646professional $407

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
$389.05
Median
$794.33
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$933.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$741.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$512.86
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$575.44

Where Tennessee 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.

Tennessee· 43rd of 51

$417

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.