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PIK3CA Testing On A Blood Plasma Sample

New York 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 June 2026.

Facilitymedian $525 · 10th–90th $234$8320%10%10th90th$525Professionalmedian $182 · 10th–90th $110$3160%10%20%10th90th$182$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$524.81
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$363.08
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$1,318.26
Typical High
$1,318.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$537.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$489.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$354.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$660.69