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Gene Activity Test to Identify a Cancer's Origin

Virginia 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 $3,981 · 10th–90th $3,162$13,8040%20%10th90th$3,981Professionalmedian $2,754 · 10th–90th $1,514$4,4670%20%10th90th$2,754$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
$7,943.28
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,630.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,162.28
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,332.54
Typical High
$19,054.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$5,248.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$6,309.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$7,943.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,715.35
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$3,715.35