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Breast Tumor Protein Measurement Panel

Ohio 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?

$2,089

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,778 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 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$1,778$1,549 to $2,239
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $4,898

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,995 to $5,370Professionalmedian $1,778 · 10th to 90th $1,349 to $3,388
$1K$2K$5K$10Kfacility $3,162professional $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
$2,089.30
Median
$3,981.07
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$5,370.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$2,884.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$4,168.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$34,673.69
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,570.40
Typical High
$10,715.19
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$12,302.69
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$3,890.45
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,344.23
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,238.72
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$2,398.83

Where Ohio 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.

Ohio· 23rd of 51

$2,089

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.