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Thyroid Nodule Gene Activity Test

Wisconsin rates for HCPCS 81545

A laboratory test run on thyroid cells collected through a fine needle. It measures how active a large set of genes is in those cells and returns one overall answer - benign, or suspicious - to help decide whether a nodule with an unclear needle result needs to come out.

Rates data updated July 2026.

How much does Thyroid Nodule Gene Activity Test cost?

$10,233

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $10,233 for this service. The price depends on where it is billed: about $10,233 from a physician practice, and about $10,471 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,233$4,467 to $11,749
FacilityA hospital or hospital-owned outpatient department$10,471$9,333 to $12,303

How much rates vary

Facilitymedian $10,471 · 10th to 90th $8,913 to $17,378Professionalmedian $10,233 · 10th to 90th $4,266 to $16,218
$100$500$2K$10Kfacility $10,471professional $10,233

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$10,964.78
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$11,748.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,912.51
Typical High
$8,912.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$16,218.10
Typical High
$16,218.10

Where Wisconsin sits

The same service costs 2187.8 times more in Illinois than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 5th of 33

$10,233

IL $23,988FL $10.96

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.