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Nationwide rates for HCPCS 81528

Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result

Facilitymedian $851 · 10th–90th $437$2,3440%10%10th90th$851Professionalmedian $447 · 10th–90th $275$8320%20%10th90th$447$1.0$10.0$100.0$1.0K$10.0K$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
$436.52 / $912.01 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,023.29 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $575.44 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $512.86 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $776.25