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Breast Tumor Protein Measurement Panel

South Dakota 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?

$3,715

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $2,512 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$4,266$2,089 to $5,370
FacilityA hospital or hospital-owned outpatient department$2,512$2,138 to $2,512

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,549 to $4,074Professionalmedian $4,266 · 10th to 90th $1,479 to $5,370
$1K$2K$5K$10Kfacility $2,512professional $4,266

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,265.80
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,128.61
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$2,951.21
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72

Where South Dakota 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.

South Dakota· 1st of 51

$3,715

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.