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Tumor Gene Silencing Test, Brain Cancer

Hawaii rates for HCPCS 81287

A laboratory test on a sample of brain tumor tissue that checks whether a particular repair gene has been chemically switched off inside the tumor cells. When that gene is silenced, the tumor is less able to undo the damage caused by certain chemotherapy drugs. The result helps the cancer team judge how well that chemotherapy is likely to work.

Rates data updated July 2026.

How much does Tumor Gene Silencing Test, Brain Cancer cost?

$148

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $126 to $158.

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.

How much rates vary

Facilitymedian $123 · 10th to 90th $102 to $148Professionalmedian $155 · 10th to 90th $112 to $219
$100$200facility $123professional $155

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
$102.33
Median
$123.03
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$147.91
HMSA
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$87.10
Typical High
$147.91
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$223.87

Where Hawaii sits

The same service costs 3.7 times more in Vermont than in Washington, DC. 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.

Hawaii· 13th of 51

$148

VT $347DC $93.33

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.