go back

Breast Tumor Protein Measurement Panel

Utah 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?

$1,995

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $10,715 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$1,950$1,738 to $2,089
FacilityA hospital or hospital-owned outpatient department$10,715$1,995 to $10,715

How much rates vary

Facilitymedian $10,715 · 10th to 90th $1,995 to $14,125Professionalmedian $1,950 · 10th to 90th $1,514 to $2,344
$1K$2K$5K$10Kfacility $10,715professional $1,950

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
$1,995.26
Median
$10,715.19
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,162.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,905.46
Typical High
$1,995.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$2,884.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$2,238.72

Where Utah 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.

Utah· 26th of 51

$1,995

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.