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Breast Tumor Protein Measurement Panel

New Jersey 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?

$1,905

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $3,162 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 5 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$1,660$1,230 to $1,905
FacilityA hospital or hospital-owned outpatient department$3,162$2,818 to $10,000

How much rates vary

Facilitymedian $3,162 · 10th to 90th $2,188 to $15,849Professionalmedian $1,660 · 10th to 90th $1,175 to $1,905
$200$500$1K$2K$5K$10K$20Kfacility $3,162professional $1,660

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
$2,818.38
Median
$2,951.21
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$3,388.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,318.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$12,589.25
Typical High
$26,302.68
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,238.72
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$2,238.72

Where New Jersey 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.

New Jersey· 30th of 51

$1,905

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.