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Breast Tumor Protein Measurement Panel

Virginia 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?

$1,738

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $2,884 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 7 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$1,549 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,884$1,905 to $5,495

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,549 to $10,471Professionalmedian $1,660 · 10th to 90th $1,549 to $2,630
$1K$2K$5K$10Kfacility $2,884professional $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
$1,905.46
Median
$4,168.69
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$11,481.54
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,495.41
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,570.40
Typical High
$3,162.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,311.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,570.40
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,570.40
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,238.72
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$2,238.72

Where Virginia 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.

Virginia· 41st of 51

$1,738

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.