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PIK3CA Testing On A Blood Plasma Sample

Ohio 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?

$219

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $417 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$200$123 to $234
FacilityA hospital or hospital-owned outpatient department$417$275 to $603

How much rates vary

Facilitymedian $417 · 10th to 90th $257 to $661Professionalmedian $200 · 10th to 90th $110 to $389
$100$200$500$1Kfacility $417professional $200

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
$257.04
Median
$416.87
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$3,801.89
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$4,265.80
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$316.23

Where Ohio 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.

Ohio· 37th of 51

$219

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.