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PML/RARA Fusion Gene Test

Hawaii rates for HCPCS 81316

Looks for an abnormal joining of the PML and RARA genes in a blood or bone marrow sample. This fusion is the defining feature of acute promyelocytic leukemia, a form of leukemia that responds to particular treatment, so the test is used to confirm the diagnosis quickly and to check afterwards whether any disease remains.

Rates data updated July 2026.

How much does PML/RARA Fusion Gene Test cost?

$257

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $214 to $324.

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.

How much rates vary

Facilitymedian $204 · 10th to 90th $170 to $251Professionalmedian $282 · 10th to 90th $209 to $447
$200$500$1Kfacility $204professional $282

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
$169.82
Median
$204.17
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
HMSA
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$309.03
Typical High
$426.58
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$467.74

Where Hawaii sits

The same service costs 3.5 times more in Vermont than in Washington, DC. 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.

Hawaii· 17th of 51

$257

VT $537DC $155

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.