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Tumor Cell Drug Response Test, First Drug

Maine rates for HCPCS 81535

A laboratory test that keeps living cancer cells taken from a gynecologic tumor alive in culture and exposes them to a cancer drug to see how strongly the cells react. The reaction is reported as a score that helps the oncologist judge which drug is more likely to work against that particular tumor. This covers the first drug or drug combination tested.

Rates data updated July 2026.

How much does Tumor Cell Drug Response Test, First Drug cost?

$575

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $933 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 6 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$575$437 to $575
FacilityA hospital or hospital-owned outpatient department$933$575 to $2,570

How much rates vary

Facilitymedian $933 · 10th to 90th $575 to $3,715Professionalmedian $575 · 10th to 90th $288 to $692
$500$1K$2Kfacility $933professional $575

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
$575.44
Median
$575.44
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,715.35
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$724.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$707.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$2,570.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$891.25

Where Maine sits

The same service costs 2.2 times more in North Dakota than in Connecticut. 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.

Maine· 23rd of 51

$575

ND $891CT $407

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.