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Nationwide rates for HCPCS 81309

PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)

Facilitymedian $457 · 10th–90th $234$1,2590%10%10th90th$457Professionalmedian $224 · 10th–90th $148$4570%20%10th90th$224$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $478.63 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $549.54 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $338.84 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $389.05