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PIK3CA Testing On A Blood Plasma Sample

New Jersey 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?

$224

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $457 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 5 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$209$162 to $229
FacilityA hospital or hospital-owned outpatient department$457$324 to $1,230

How much rates vary

Facilitymedian $457 · 10th to 90th $257 to $2,754Professionalmedian $209 · 10th to 90th $132 to $316
$100$500$2K$10Kfacility $457professional $209

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
$323.59
Median
$363.08
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$602.56
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$275.42
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$257.04

Where New Jersey 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.

New Jersey· 32nd of 51

$224

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.