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Gene Activity Test to Identify a Cancer's Origin

Georgia 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 $4,898 · 10th–90th $2,512$12,5890%10%20%10th90th$4,898Professionalmedian $2,951 · 10th–90th $1,514$4,4670%10%20%10th90th$2,951$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$2,511.89
Median
$6,918.31
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,265.80
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$6,025.60
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,801.89
Typical High
$12,022.64
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$29,512.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,388.44
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$4,897.79