go back

Tumor Cell Drug Response Test, First Drug

Texas 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.

Facilitymedian $832 · 10th–90th $347$2,7540%5%10%10th90th$832Professionalmedian $437 · 10th–90th $245$6310%10%20%10th90th$437$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,071.52
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.50
Typical High
$316.23
Christus
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,258.93
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$954.99
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$575.44
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$575.44
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$575.44