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Progesterone Receptor Test on Tumor Tissue

Vermont rates for HCPCS 84234

A laboratory test on a sample of tumor tissue that measures how much progesterone receptor the cancer cells carry. Cancers with plenty of these receptors are usually driven by hormones and tend to respond to hormone-blocking treatment.

Rates data updated July 2026.

How much does Progesterone Receptor Test on Tumor Tissue cost?

$112

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $501 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 5 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$112$102 to $112
FacilityA hospital or hospital-owned outpatient department$501$64.57 to $1,096

How much rates vary

Facilitymedian $501 · 10th to 90th $23 to $1,148Professionalmedian $112 · 10th to 90th $55 to $112
$50$100$200$500$1Kfacility $501professional $112

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
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$87.10
Typical High
$102.33
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$81.28
Typical High
$177.83

Where Vermont sits

The same service costs 2.4 times more in Hawaii than in Maryland. 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.

Vermont· 2nd of 51

$112

HI $117MD $48.98

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.