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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 July 2026.

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

$214

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $479 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 9 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 $234
FacilityA hospital or hospital-owned outpatient department$479$288 to $631

How much rates vary

Facilitymedian $479 · 10th to 90th $200 to $759Professionalmedian $148 · 10th to 90th $110 to $347
$100$200$500$1Kfacility $479professional $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
$199.53
Median
$489.78
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$234.42
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
$331.13
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
$295.12
Median
$363.08
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
$204.17
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$371.54
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

Where New York 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 York· 41st of 51

$214

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.