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Leukemia-Associated Gene Fusion Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $282 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 8 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$117 to $200
FacilityA hospital or hospital-owned outpatient department$282$209 to $513

How much rates vary

Facilitymedian $282 · 10th to 90th $195 to $1,072Professionalmedian $162 · 10th to 90th $102 to $389
$100$200$500$1K$2K$5K$10Kfacility $282professional $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
$194.98
Median
$436.52
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$512.86
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$389.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$120.23
Typical High
$436.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$281.84

Where Virginia 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.

Virginia· 22nd 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.