go back

Georgia rates for HCPCS 81518

Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy

Facilitymedian $4,786 · 10th–90th $2,570–$12,8820%20%10th90th$4,786Professionalmedian $3,162 · 10th–90th $1,549–$5,8880%20%10th90th$3,162$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,079.46 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,311.31 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,466.84 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,585.78 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,890.45 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,011.87 / $8,511.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,786.30 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,467.37 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $5,370.32