CPT 81261 Pathology/Laboratory
Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect Cost
Body System: General
Medicare Facility Rate
$198
CMS PFS CY2026
Medicare Non-Facility Rate
$198
Office/clinic setting
Frequently Asked Questions
How much does Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect cost?
The Medicare facility rate is $198. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $198.