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PML/RARA Fusion Gene Test

Texas 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 October 2026.

How much does PML/RARA Fusion Gene Test cost?

$562

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $389 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,514$132 to $1,549
FacilityA hospital or hospital-owned outpatient department$389$234 to $646

How much rates vary

Facilitymedian $389 · 10th to 90th $158 to $1,047Professionalmedian $1,514 · 10th to 90th $102 to $1,549
$10$20$50$100$200$500$1Kfacility $389professional $1,514

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$302.00
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$147.91
Typical High
$562.34
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$60.26
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$128.82
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$64.57
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$26.30
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$467.74
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$218.78
Typical High
$354.81
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$251.19
Typical High
$1,122.02
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$147.91
Typical High
$562.34
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$60.26
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$64.57
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.70
Typical High
$33.11
Molina
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$501.19
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$223.87
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$87.10
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$123.03
Typical High
$257.04
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$107.15

Where Texas sits

The same service costs 3.4 times more in Texas than in Ohio. 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.

Texas· 1st of 51

$562

TX $562OH $166

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.