What is the standard insurance baseline for CPT 81445?

The standard insurance baseline reimbursement rate is $585.95. This represents the customary allowable amount established across standard fee schedules.

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CPT 81445Medical Service

Targeted Genomic Sequence Analysis Panel of Dna or Combined Dna and Rna of 5-50 Genes Associated with Solid Organ Neoplasm

Q: What do doctors typically charge for Targeted Genomic Sequence Analysis Panel of Dna or Combined Dna and Rna of 5-50 Genes Associated with Solid Organ Neoplasm?

The nationwide median physician charge for Targeted Genomic Sequence Analysis Panel of Dna or Combined Dna and Rna of 5-50 Genes Associated with Solid Organ Neoplasm (CPT 81445) is $2006.16. Doctor billed charges vary based on geographic region, setting, and overhead.

Targeted genomic sequence analysis panel of dna or combined dna and rna of 5-50 genes associated with solid organ neoplasm. Clinical pricing breakdown and utilization metrics across 18 practicing doctors nationwide.

$2006.16

Peer Median Charge

Gross billed rate

$585.95

Standard Baseline

Customary allowable

3.4x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $2006.16. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $585.95 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 81445 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"