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PIK3CA Testing On Breast Tumor Tissue

Delaware rates for HCPCS 0155U

A breast cancer test that examines a sample of tumor tissue for 11 specific changes in the PIK3CA gene. The result states whether any of those changes were found. The material tested is tumor tissue preserved in wax after surgery or a biopsy; a companion version of this test looks for the same 11 changes in a blood sample instead.

Rates data updated July 2026.

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $316Professionalmedian $186 · 10th to 90th $145 to $229
$200facility $316professional $186

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$416.87