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Gene Activity Test to Identify a Cancer's Origin

New Hampshire 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 $11,220 · 10th–90th $6,026$23,9880%20%10th90th$11,220Professionalmedian $3,631 · 10th–90th $2,042$6,6070%20%10th90th$3,631$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
$5,248.07
Median
$9,549.93
Typical High
$26,302.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,951.21
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,244.36
Typical High
$21,379.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,454.71
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$14,125.38
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,890.45
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$6,309.57