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Gene Activity Test to Identify a Cancer's Origin

Indiana 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 $3,715 · 10th–90th $3,715$11,2200%20%40%90th$3,715Professionalmedian $3,020 · 10th–90th $1,514$3,6310%20%10th90th$3,020$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
$3,715.35
Median
$5,888.44
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,513.56
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$4,168.69