Immune Cell Gene Rearrangement Test, B-Cell

Delaware 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?

$132

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $229 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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$132	$105 to $166
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$229	$229 to $229

How much rates vary

Facilitymedian $229 · 10th to 90th $229 to $229Professionalmedian $132 · 10th to 90th $105 to $589

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $229.09 Median $229.09 Typical High $229.09	Facility	Global	$229.09	$229.09	$229.09
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $131.83 Typical High $588.84	Professional	Global	$104.71	$131.83	$588.84
Cigna Setting Facility Modifier Global Typical Low $128.82 Median $128.82 Typical High $128.82	Facility	Global	$128.82	$128.82	$128.82
Cigna Setting Professional Modifier Global Typical Low $131.83 Median $131.83 Typical High $371.54	Professional	Global	$131.83	$131.83	$371.54
Highmark BCBS Setting Facility Modifier Global Typical Low $371.54 Median $371.54 Typical High $371.54	Facility	Global	$371.54	$371.54	$371.54
United Setting Professional Modifier Global Typical Low $89.13 Median $162.18 Typical High $295.12	Professional	Global	$89.13	$162.18	$295.12

Where Delaware 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.

Delaware· 50th of 51

$132

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.