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Leukemia-Associated Gene Fusion Test

North Carolina 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?

$209

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $380 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 6 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$186$166 to $251
FacilityA hospital or hospital-owned outpatient department$380$182 to $661

How much rates vary

Facilitymedian $380 · 10th to 90th $166 to $692Professionalmedian $186 · 10th to 90th $115 to $295
$100$200$500$1Kfacility $380professional $186

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
$165.96
Median
$389.05
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$251.19
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$457.09
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$281.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,548.82

Where North Carolina 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.

North Carolina· 28th of 51

$209

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.