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Additional Tissue Genetic Marker Probe

Utah rates for HCPCS 88364

This add-on service tests a tissue sample, often from a biopsy or surgical specimen, for one additional genetic marker beyond what the primary tissue-based genetic test already covers. It's billed in addition to the main test when more than one marker needs to be checked. Results like this are commonly used to help classify a tumor, guide cancer treatment decisions, or confirm a genetic diagnosis.

Facilitymedian $23 · 10th–90th $23$230%50%100%$23Professionalmedian $81 · 10th–90th $23$1740%5%10%10th90th$81$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$288.40
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.31
Median
$23.99
Typical High
$48.98
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$74.13
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$102.33
Typical High
$218.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$30.20
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$74.13
Typical High
$162.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$40.74
Typical High
$57.54
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$112.20
Typical High
$177.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$302.00
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$54.95
Typical High
$81.28
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$141.25
Typical High
$223.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$123.03
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.49
Median
$21.88
Typical High
$43.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$63.10
Typical High
$134.90