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Gene Activity Test to Identify a Cancer's Origin

Kentucky 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 $2,951$8,9130%20%10th90th$3,715Professionalmedian $2,951 · 10th–90th $100$3,7150%20%10th90th$2,951$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
$2,951.21
Median
$3,715.35
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,715.35
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,513.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,248.07
Typical High
$7,079.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,897.79
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,025.60
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$18,197.01
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
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
$3,019.95