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Texas 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 $4,677 · 10th–90th $2,344–$17,7830%10%10th90th$4,677Professionalmedian $2,951 · 10th–90th $2,089–$5,0120%20%10th90th$2,951$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,344.23 / $5,370.32 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,090.30 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,918.31 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,454.71 / $6,918.31
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,890.45 / $7,244.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $3,311.31 / $5,754.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,168.69 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $10,715.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,801.89 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $3,890.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,995.26 / $3,890.45