go back

New York 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 $6,761 · 10th–90th $3,467$10,9650%10%10th90th$6,761Professionalmedian $3,162 · 10th–90th $1,549$7,2440%10%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
$3,715.35 / $6,760.83 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,311.31 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $7,413.10
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,890.45 / $3,890.45
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,801.89 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,370.32 / $18,620.87
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,011.87 / $10,715.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,467.37 / $7,413.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,715.35 / $6,918.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,162.28 / $8,128.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,073.80 / $5,248.07
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,801.89 / $7,585.78