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Gene Activity Test to Identify a Cancer's Origin

South Dakota 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 $7,244 · 10th–90th $3,548$7,2440%50%10th$7,244Professionalmedian $3,548 · 10th–90th $2,512$8,9130%20%10th90th$3,548$2.0K$5.0K$10.0K

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
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$7,244.36
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$18,620.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$4,365.16
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35