After my Iowa City oncologist made the remark about how Medicare would never cover Signaterra for me. I have wondered, since then, if that was because the one seminal node biopsy removed during the lumpectomy did not show any spread. My original Illinois oncologist was completely opposed to ordering any expensive tests and another doctor on his team told me it was because "He doesn't want to get dinged by Medicare." Hence my story of his refusal to order an oncotype OR a ki67. I was so curious about this $20,000 figure he threw out during our brief meeting that I wrote to the company. Here is what the makers of Signaterra wrote me about the use of their test (whether covered or not.):
Topic: General Question.

Hello,

Thank you for contacting Natera,

thank you for the information provided, after reviewing your inquiry we would like to advise you about the cost for the Signatera test, the selfpay rate or prompt pay cash is $395.00 per test not using insurance, if you want to bill your insurance the amount billed would be $3920.00 per test and the total amount covered would depend on the insurance answer we will receive.

If you have any more questions, please feel free to call us back through this number: 844-384-2996. Option 1 for billing, our hours of operation are Monday to Friday from 8:00 AM to 7:00 PM CST.

Have a lovely day!

Natera Billing Department.
Billing Call Center: 844-384-2996
PO Box 889023