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Texas rates for HCPCS 81542

Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score

Facilitymedian $6,918 · 10th–90th $2,570–$19,0550%10%10th90th$6,918Professionalmedian $3,162 · 10th–90th $2,188–$4,6770%20%10th90th$3,162$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,456.54 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,311.31 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $11,220.18 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $2,137.96 / $3,890.45
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $7,943.28 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,981.07 / $6,606.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,890.45 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,388.44 / $5,754.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,168.69 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,890.45 / $10,715.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,570.88 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $3,890.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,691.53 / $3,890.45