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Gene Activity Test to Identify a Cancer's Origin

Florida 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 $5,248 · 10th–90th $2,630$18,6210%10%10th90th$5,248Professionalmedian $2,951 · 10th–90th $1,738$4,6770%20%10th90th$2,951$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,691.53
Median
$6,760.83
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$4,677.35
AvMed
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$4,365.16
AvMed
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$6,760.83
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$4,897.79
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,715.35