go back

Eye Melanoma Gene Activity Risk Test

Montana rates for HCPCS 81552

A laboratory test on a sample from a melanoma inside the eye that measures the activity of a small set of genes and reports which risk group the tumor falls into. The result predicts how likely the melanoma is to spread elsewhere and is used to set how closely the patient is watched afterwards.

Rates data updated October 2026.

How much does Eye Melanoma Gene Activity Risk Test cost?

$11,220

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $10,471 from a physician practice, and about $13,183 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,471$6,918 to $11,220
FacilityA hospital or hospital-owned outpatient department$13,183$11,749 to $13,490

How much rates vary

Facilitymedian $13,183 · 10th to 90th $9,772 to $15,136Professionalmedian $10,471 · 10th to 90th $3,236 to $14,125
$5K$10K$20Kfacility $13,183professional $10,471

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
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$13,182.57
Typical High
$15,488.17
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$10,471.29
Median
$13,182.57
Typical High
$14,125.38
Providence
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Providence
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$11,220.18
United
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,762.47

Where Montana sits

The same service costs 7.4 times more in Texas 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

$11,220

TX $23,988AL $3,236

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.