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Gene Activity Test to Identify a Cancer's Origin

Kansas 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 $6,457 · 10th–90th $3,020$11,2200%20%10th90th$6,457Professionalmedian $3,236 · 10th–90th $2,042$6,1660%20%10th90th$3,236$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
$3,630.78
Median
$6,760.83
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,760.83
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,548.13
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,715.35
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,715.35
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$3,388.44