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Leukemia-Associated Gene Fusion Test

New Jersey 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?

$178

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $661 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$162$112 to $178
FacilityA hospital or hospital-owned outpatient department$661$269 to $1,288

How much rates vary

Facilitymedian $661 · 10th to 90th $204 to $2,818Professionalmedian $162 · 10th to 90th $112 to $251
$100$500$2K$10Kfacility $661professional $162

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
$263.03
Median
$812.83
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$331.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$281.84

Where New Jersey 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.

New Jersey· 41st of 51

$178

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.