go back

PIK3CA Testing On A Blood Plasma Sample

Virginia 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?

$209

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $389 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$204$110 to $214
FacilityA hospital or hospital-owned outpatient department$389$245 to $575

How much rates vary

Facilitymedian $389 · 10th to 90th $204 to $1,175Professionalmedian $204 · 10th to 90th $110 to $355
$100$200$500$1Kfacility $389professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$524.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$537.03
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$575.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$575.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$281.84

Where Virginia 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.

Virginia· 42nd of 51

$209

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.