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Eye Melanoma Gene Activity Risk Test

New Jersey 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 July 2026.

How much does Eye Melanoma Gene Activity Risk Test cost?

$6,166

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $6,166 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $10,233 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 5 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$5,248$2,455 to $6,310
FacilityA hospital or hospital-owned outpatient department$10,233$6,166 to $24,547

How much rates vary

Facilitymedian $10,233 · 10th to 90th $4,786 to $46,774Professionalmedian $5,248 · 10th to 90th $2,455 to $7,943
$200$1K$5K$20Kfacility $10,233professional $5,248

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,000.00
Typical High
$47,863.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,754.40
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$16,982.44
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,709.64
Typical High
$23,442.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$8,128.31
Typical High
$14,791.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$9,772.37
Typical High
$29,512.09
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,762.47
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$7,943.28

Where New Jersey sits

The same service costs 7.1 times more in Alaska than in Vermont. 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.

New Jersey· 38th of 51

$6,166

AK $17,378VT $2,455

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.