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Tumor Protein Test For Drug Selection

Vermont 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 July 2026.

How much does Tumor Protein Test For Drug Selection cost?

$1,622

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,318 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,622$1,622 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,318$457 to $2,188

How much rates vary

Facilitymedian $1,318 · 10th to 90th $457 to $2,188Professionalmedian $1,622 · 10th to 90th $851 to $1,622
$500$1K$2Kfacility $1,318professional $1,622

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
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,862.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,819.70

Where Vermont sits

The same service costs 3.0 times more in South Dakota than in Connecticut. 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.

Vermont· 5th of 51

$1,622

SD $2,512CT $851

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.