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PIK3CA Testing On Breast Tumor Tissue

Minnesota 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.

Facilitymedian $525 · 10th–90th $269$1,8200%20%40%10th90th$525Professionalmedian $275 · 10th–90th $219$3310%20%40%10th90th$275$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,047.13
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$562.34
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,819.70
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$602.56