go back

Immune Cell Gene Rearrangement Test, B-Cell

Washington, DC rates for HCPCS 81261

This is a laboratory test that examines the genetic material inside white blood cells to see whether they share an identical rearranged pattern in a gene used by the immune system to make antibodies. Cells that normally fight infection each have a slightly different pattern; when a large group of cells all show the exact same pattern, it suggests they descended from a single abnormal cell rather than being part of a normal, diverse immune response. It is commonly used to help diagnose or monitor certain blood or lymph node cancers.

Rates data updated July 2026.

How much does Immune Cell Gene Rearrangement Test, B-Cell cost?

$148

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $447 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$148$148 to $155
FacilityA hospital or hospital-owned outpatient department$447$240 to $933

How much rates vary

Facilitymedian $447 · 10th to 90th $148 to $977Professionalmedian $148 · 10th to 90th $141 to $229
$100$200$500$1Kfacility $447professional $148

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
$147.91
Median
$446.68
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$186.21

Where Washington, DC sits

The same service costs 3.8 times more in Alaska than in Vermont. 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.

Washington, DC· 48th of 51

$148

AK $447VT $117

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.