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North Carolina rates for HCPCS 81520

Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence risk score

Facilitymedian $2,692 · 10th–90th $1,995$8,3180%20%10th90th$2,692Professionalmedian $2,042 · 10th–90th $1,660$3,3880%20%40%10th90th$2,042$10.0$50.0$200.0$1.0K$5.0K

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
$1,995.26 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,041.74 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,332.54 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,630.27 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $5,495.41 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,288.25 / $3,388.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $4,168.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,090.30 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $3,890.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $18,620.87