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Gene Activity Test to Identify a Cancer's Origin

Maine 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$16,5960%50%90th$3,715Professionalmedian $3,020 · 10th–90th $1,585$3,9810%20%10th90th$3,020$1.0K$2.0K$5.0K$10.0K$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
$3,715.35
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$3,801.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,951.21
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,715.35
Typical High
$5,128.61