go back

Broad Tumor Profiling For Treatment Choice

Virginia rates for HCPCS 0211U

Profiles a tumor of any type to help match a patient with the treatments most likely to work. Both DNA and RNA from a preserved tissue sample are sequenced, and four separate findings are reported: single-letter changes in genes, gains and losses of gene copies, the overall number of mutations in the tumor, and whether the tumor shows the repair defect known as microsatellite instability.

Rates data updated July 2026.

How much does Broad Tumor Profiling For Treatment Choice cost?

$6,457

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $12,589 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$3,715$209 to $7,244
FacilityA hospital or hospital-owned outpatient department$12,589$7,762 to $18,621

How much rates vary

Facilitymedian $12,589 · 10th to 90th $6,026 to $36,308Professionalmedian $3,715 · 10th to 90th $209 to $10,965
$200$1K$5K$20Kfacility $12,589professional $3,715

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
$7,244.36
Median
$17,782.79
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,244.36
Typical High
$16,218.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$44,668.36
Typical High
$52,480.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$7,079.46
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$43,651.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$11,748.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$8,511.38
Typical High
$14,454.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$17,782.79
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$19,498.45
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,365.16
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$4,265.80

Where Virginia sits

The same service costs 91.2 times more in Alaska than in Kentucky. 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· 41st of 51

$6,457

AK $19,055KY $209

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.