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Gene Activity Test to Identify a Cancer's Origin

Maryland 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 $1,585 · 10th–90th $1,585$2,8180%50%90th$1,585Professionalmedian $3,020 · 10th–90th $1,585$4,4670%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$4,466.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,019.95
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$9,120.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,951.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09