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PIK3CA Testing On A Blood Plasma Sample

New Mexico 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?

$204

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $331 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$204$204 to $331
FacilityA hospital or hospital-owned outpatient department$331$224 to $501

How much rates vary

Facilitymedian $331 · 10th to 90th $178 to $832Professionalmedian $204 · 10th to 90th $105 to $331
$100$200$500$1Kfacility $331professional $204

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
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91

Where New Mexico 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 Mexico· 45th of 51

$204

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.