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Thyroid Nodule Gene Activity Test

Montana rates for HCPCS 81546

Analyzes the activity of a large number of genes in cells drawn out of a thyroid nodule with a fine needle. It is used when the usual microscope examination of those cells could not say whether the nodule is harmless, and the result is reported as benign or suspicious to help decide whether surgery is needed.

Rates data updated October 2026.

How much does Thyroid Nodule Gene Activity Test cost?

$5,248

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $6,166 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,898$3,236 to $5,248
FacilityA hospital or hospital-owned outpatient department$6,166$5,370 to $6,310

How much rates vary

Facilitymedian $6,166 · 10th to 90th $4,467 to $7,079Professionalmedian $4,898 · 10th to 90th $1,514 to $6,457
$2K$5K$10Kfacility $6,166professional $4,898

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$6,165.95
Typical High
$7,244.36
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$6,165.95
Typical High
$6,606.93
Providence
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Providence
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$3,630.78

Where Montana sits

The same service costs 5.4 times more in Alaska than in Alabama. 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.

Montana· 4th of 51

$5,248

AK $8,128AL $1,514

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.