Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score in Tennessee
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Tennessee
| Provider | Medicare | Services |
|---|---|---|
| Razor Genomics, Inc | $3,795.54 | 496 |
Tennessee Pricing in Context
In Tennessee, CPT code 0288U (Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score) carries an average Medicare payment of $3,795.54 — 0% above the national benchmark of $3,789.14. 1 providers across the state submitted claims for this procedure in 2023, performing 496 total services. Individual payments in TN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Tennessee is $6,500.00, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Tennessee sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Genetic/Molecular Test procedures, the estimated commercial insurance price in Tennessee lands near $8,160.41, with self-pay cash prices typically around $4,634.16. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score cost in Tennessee?
The average Medicare payment for Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score in Tennessee is $3,795.54, which is 0% above the national average of $3,789.14. Providers in TN typically bill $6,500.00 for this procedure.
What does Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score cost with insurance in Tennessee?
With commercial insurance in Tennessee, Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score costs an estimated $8,160.41. Without insurance, the estimated cash price is $4,634.16. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score in Tennessee?
1 providers in Tennessee billed Medicare for Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score in 2023, performing 496 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score cheaper in Tennessee than the national average?
No — Pcr Measurement Of 11 Genes (bag1, Brca1, Cdc6, Cdk2ap1, Erbb3, Fut3, Il11, Lck, Rnd3, Sh3bgr, Wnt3a) And 3 Reference Genes (esd, Tbp, Yap1), In Tumor Tissue, With Algorithmic Interpretation Reported As A Recurrence Risk Score costs 0% above the national average in Tennessee. The state average Medicare payment is $3,795.54 compared to $3,789.14 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.