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Pennsylvania rates for HCPCS 81521

Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as index related to risk of distant metastasis

Facilitymedian $10,000 · 10th–90th $3,631–$16,9820%10%10th90th$10,000Professionalmedian $3,162 · 10th–90th $2,188–$7,9430%10%20%10th90th$3,162$2.0K$5.0K$10.0K$20.0K$50.0K

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
$3,630.78 / $10,000.00 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,162.28 / $11,481.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $18,197.01 / $26,302.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,309.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,311.31 / $5,754.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,467.37 / $5,248.07
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,466.84 / $7,244.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $7,413.10 / $13,182.57
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,162.28 / $4,786.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,265.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $5,128.61