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Gene Activity Test to Identify a Cancer's Origin

Iowa 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 $5,888 · 10th–90th $2,884$10,2330%10%10th90th$5,888Professionalmedian $3,162 · 10th–90th $2,239$7,5860%20%10th90th$3,162$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
$2,884.03
Median
$7,079.46
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$8,912.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$6,606.93
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$4,466.84
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,786.30
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,073.80
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$8,511.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35