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New York rates for HCPCS 81540

Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype

Facilitymedian $6,457 · 10th–90th $3,162–$11,2200%10%20%10th90th$6,457Professionalmedian $3,020 · 10th–90th $1,514–$6,4570%10%10th90th$3,020$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,606.93 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $5,623.41
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,715.35 / $3,715.35
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,943.28 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,570.88 / $18,197.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,715.35 / $8,511.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,311.31 / $7,079.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,548.13 / $6,760.83
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,079.46 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,715.35 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,691.53 / $6,606.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,311.31 / $3,981.07
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,548.13 / $8,912.51