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Leukemia-Associated Gene Fusion Test

Pennsylvania 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?

$195

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $490 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 9 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$170$162 to $195
FacilityA hospital or hospital-owned outpatient department$490$309 to $550

How much rates vary

Facilitymedian $490 · 10th to 90th $178 to $776Professionalmedian $170 · 10th to 90th $123 to $490
$100$200$500$1Kfacility $490professional $170

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
$177.83
Median
$489.78
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$741.31
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$467.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$269.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$524.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$426.58
Typical High
$741.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$501.19
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$741.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,122.02
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$323.59

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$195

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.