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PIK3CA Testing On A Blood Plasma Sample

Kentucky rates for HCPCS 0177U

A breast cancer test that examines plasma, the liquid part of a blood sample, for 11 specific changes in the PIK3CA gene. The result states whether any of those changes were found. Because the test works from a blood draw, no tumor tissue has to be removed; a companion version looks for the same 11 changes in tumor tissue.

Rates data updated July 2026.

How much does PIK3CA Testing On A Blood Plasma Sample cost?

$219

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $347 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 6 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$148$110 to $224
FacilityA hospital or hospital-owned outpatient department$347$224 to $661

How much rates vary

Facilitymedian $347 · 10th to 90th $224 to $4,898Professionalmedian $148 · 10th to 90th $93 to $275
$100$500$2K$10K$50Kfacility $347professional $148

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$109.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,168.69
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$398.11
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,318.26
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$245.47

Where Kentucky sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Kentucky· 38th of 51

$219

AK $617NE $182

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.