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Gene Activity Test to Identify a Cancer's Origin

Nebraska 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 $7,586 · 10th–90th $1,380$18,6210%10%10th90th$7,586Professionalmedian $2,818 · 10th–90th $2,239$24,5470%20%10th90th$2,818$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
$2,630.27
Median
$10,000.00
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,818.38
Typical High
$24,547.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,888.44
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,244.36
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$7,585.78