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Leukemia-Associated Gene Fusion Test

Illinois rates for HCPCS 81315

This laboratory test looks for a specific genetic fusion, formed when pieces of two different chromosomes join together, that is strongly linked to a particular type of acute leukemia. Finding this fusion helps confirm the diagnosis and can guide the choice of targeted treatment. The test is typically run on a blood or bone marrow sample.

Rates data updated July 2026.

How much does Leukemia-Associated Gene Fusion Test cost?

$170

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $339 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$158$145 to $186
FacilityA hospital or hospital-owned outpatient department$339$214 to $437

How much rates vary

Facilitymedian $339 · 10th to 90th $178 to $562Professionalmedian $158 · 10th to 90th $3 to $389
$10.0$100.0$1.0Kfacility $339professional $158

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
$169.82
Median
$323.59
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$851.14
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$144.54
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$288.40
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$281.84

Where Illinois sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $170 · 44th of 51
AK $468DE $138

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.