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California rates for HCPCS 81523

Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as index related to risk to distant metastasis

Facilitymedian $10,715 · 10th–90th $3,311–$25,7040%10%10th90th$10,715Professionalmedian $3,388 · 10th–90th $1,660–$16,5960%20%10th90th$3,388$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5,248.07 / $14,454.40 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,311.31 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $9,120.11 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,737.80 / $7,943.28
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $16,218.10 / $43,651.58
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,677.35 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,754.40 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,168.69 / $19,054.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,265.80 / $5,754.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,265.80 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,677.35 / $10,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,265.80 / $15,135.61
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,365.16 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,890.45 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $8,511.38