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Gene Activity Test to Identify a Cancer's Origin

Tennessee 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 $3,715 · 10th–90th $2,455$12,3030%20%10th90th$3,715Professionalmedian $2,951 · 10th–90th $2,042$4,8980%20%40%10th90th$2,951$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
$2,818.38
Median
$3,548.13
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,951.21
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$7,943.28
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$5,128.61
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$28,183.83
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$3,715.35