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Tumor Protein Test For Drug Selection

Michigan rates for HCPCS 0174U

Helps choose cancer treatment by measuring the levels of 30 proteins in a preserved tumor sample. The results are graded to show how much benefit is expected from each of 39 different drugs.

Rates data updated October 2026.

How much does Tumor Protein Test For Drug Selection cost?

$1,230

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,230 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$832 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,230$1,230 to $1,950

How much rates vary

Facilitymedian $1,230 · 10th to 90th $1,175 to $3,090Professionalmedian $1,230 · 10th to 90th $661 to $1,622
$500$1K$2Kfacility $1,230professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,949.84
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$616.60
Typical High
$977.24
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$549.54
Median
$630.96
Typical High
$660.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$223.87
Median
$251.19
Typical High
$263.03
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
BCBS Michigan
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,995.26
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$3,630.78
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$616.60
Typical High
$977.24
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Health Alliance Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,737.80
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Priority Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,548.82
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$549.54
Median
$776.25
Typical High
$1,318.26

Where Michigan sits

The same service costs 40.7 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 22nd of 51

$1,230

AK $2,570AL $63.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.