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Gene Activity Test to Identify a Cancer's Origin

California rates for HCPCS 81540

A laboratory test on a sample of tumor tissue that measures the activity of a large panel of genes and compares the pattern against the patterns of known cancer types. It is used when a cancer has already spread and doctors cannot tell which organ it began in, because treatment depends on the tissue of origin.

Facilitymedian $9,333 · 10th–90th $3,467$20,8930%10%10th90th$9,333Professionalmedian $3,090 · 10th–90th $1,585$15,8490%10%10th90th$3,090$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$4,677.35
Median
$11,748.98
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$24,547.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$8,709.64
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$6,456.54
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$8,709.64
Typical High
$10,964.78
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,606.93
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$10,964.78
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$6,606.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$28,183.83
Typical High
$28,183.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,466.84
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,715.35
Typical High
$7,762.47
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$7,762.47