Immune Cell Gene Rearrangement Test, T-Cell

Delaware rates for HCPCS 81340

This is a laboratory test that examines the genetic material inside T-cells, a type of white blood cell, to see whether a large group of them share an identical rearranged pattern in a gene used to recognize specific threats. Normally, T-cells each have a unique pattern; finding many cells with the exact same pattern suggests they descended from a single abnormal cell rather than a typical immune response. It is commonly used to help diagnose or monitor certain T-cell related blood or lymph node cancers.

Rates data updated July 2026.

How much does Immune Cell Gene Rearrangement Test, T-Cell cost?

$191

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $219 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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$178	$141 to $191
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$219	$174 to $1,318

How much rates vary

Facilitymedian $219 · 10th to 90th $174 to $1,318Professionalmedian $178 · 10th to 90th $141 to $631

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $173.78 Median $218.78 Typical High $1,318.26	Facility	Global	$173.78	$218.78	$1,318.26
Aetna Setting Professional Modifier Global Typical Low $141.25 Median $177.83 Typical High $630.96	Professional	Global	$141.25	$177.83	$630.96
Cigna Setting Facility Modifier Global Typical Low $134.90 Median $134.90 Typical High $134.90	Facility	Global	$134.90	$134.90	$134.90
Cigna Setting Professional Modifier Global Typical Low $138.04 Median $138.04 Typical High $389.05	Professional	Global	$138.04	$138.04	$389.05
Highmark BCBS Setting Facility Modifier Global Typical Low $331.13 Median $331.13 Typical High $331.13	Facility	Global	$331.13	$331.13	$331.13
United Setting Professional Modifier Global Typical Low $93.33 Median $169.82 Typical High $316.23	Professional	Global	$93.33	$169.82	$316.23

Where Delaware sits

The same service costs 3.0 times more in Alaska 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.

Delaware· 39th of 51

$191

AK $468DC $158

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.