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Gene Activity Test to Identify a Cancer's Origin

Michigan 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 $3,548 · 10th–90th $3,548$6,6070%50%90th$3,548Professionalmedian $3,090 · 10th–90th $1,905$4,4670%20%10th90th$3,090$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
$3,548.13
Median
$3,548.13
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$4,365.16
Typical High
$5,754.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,606.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$5,128.61
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,715.35
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,951.21