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PIK3CA Testing On A Blood Plasma Sample

Massachusetts 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?

$275

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $380 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 8 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$275$186 to $275
FacilityA hospital or hospital-owned outpatient department$380$275 to $617

How much rates vary

Facilitymedian $380 · 10th to 90th $245 to $813Professionalmedian $275 · 10th to 90th $148 to $457
$200$500$1K$2K$5Kfacility $380professional $275

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
$173.78
Median
$478.63
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$199.53
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$457.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$562.34

Where Massachusetts 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.

Massachusetts· 19th of 51

$275

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.