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Leukemia-Associated Gene Fusion Test

Kentucky 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?

$162

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $209 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$145$63.10 to $174
FacilityA hospital or hospital-owned outpatient department$209$170 to $398

How much rates vary

Facilitymedian $209 · 10th to 90th $162 to $501Professionalmedian $145 · 10th to 90th $63 to $282
$50$100$200$500$1Kfacility $209professional $145

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
$162.18
Median
$169.82
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$281.84

Where Kentucky 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.

Kentucky· 48th of 51

$162

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.