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Breast Tumor Protein Measurement Panel

Maine rates for HCPCS 0249U

Measures proteins in breast cancer tissue to help characterize the tumor. Thirty-two proteins in total are measured, and the tumor cells are first separated from the surrounding tissue with a laser so that only the cells of interest are analyzed.

Rates data updated July 2026.

How much does Breast Tumor Protein Measurement Panel cost?

$2,239

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $2,239 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 6 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$1,778$1,445 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,239$2,239 to $5,012

How much rates vary

Facilitymedian $2,239 · 10th to 90th $2,239 to $5,495Professionalmedian $1,778 · 10th to 90th $1,259 to $2,630
$1K$2K$5K$10Kfacility $2,239professional $1,778

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
$2,238.72
Median
$2,238.72
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,162.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$2,691.53
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$5,495.41
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$3,235.94

Where Maine sits

The same service costs 2.6 times more in South Dakota than in Florida. 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.

Maine· 12th of 51

$2,239

SD $3,715FL $1,445

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.