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Gene Activity Test to Identify a Cancer's Origin

Wisconsin 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 $9,772 · 10th–90th $3,715$14,7910%20%10th90th$9,772Professionalmedian $3,548 · 10th–90th $1,514$11,4820%10%20%10th90th$3,548$5.0$20.0$100.0$500.0$2.0K$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
$4,466.84
Median
$8,317.64
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,000.00
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,022.64
Typical High
$19,054.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,456.54
Typical High
$11,748.98
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$12,302.69
Typical High
$18,620.87
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$25,118.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,786.30
Typical High
$13,182.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$11,481.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$3,715.35
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,466.84
Typical High
$5,754.40
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$10,715.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$12,589.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$17,782.79
Typical High
$17,782.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$18,620.87
Typical High
$18,620.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$7,943.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$8,511.38
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,019.95
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$5,128.61