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Melanoma Gene Expression Risk Score

New Jersey rates for HCPCS 81529

A test performed on tissue taken from a melanoma, a serious form of skin cancer, that measures how active a set of genes is within the tumor and combines the readings into a single score. The score estimates how likely that melanoma is to come back or spread. It helps the care team decide how closely to follow the patient and whether further treatment should be considered.

Rates data updated July 2026.

How much does Melanoma Gene Expression Risk Score cost?

$6,166

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $6,166 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $10,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,623$4,467 to $6,166
FacilityA hospital or hospital-owned outpatient department$10,715$9,333 to $28,184

How much rates vary

Facilitymedian $10,715 · 10th to 90th $7,244 to $44,668Professionalmedian $5,623 · 10th to 90th $3,802 to $8,710
$200$1K$5K$20Kfacility $10,715professional $5,623

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$9,549.93
Typical High
$44,668.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,848.93
Typical High
$33,113.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$15,135.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,585.78
Typical High
$11,748.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$30,199.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,244.36
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,365.16
Typical High
$7,413.10

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 36th of 51

$6,166

AK $16,218NE $4,786

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.