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Gene Probe Study On A Tissue Sample

Illinois rates for HCPCS 88368

A laboratory study on a tissue sample in which a marker is attached to a specific stretch of DNA, and the cells are then examined and counted to see whether a gene is present in extra copies or has been rearranged. The marker may glow under a special microscope or show as a color visible under an ordinary one. Findings of this kind guide treatment choices in cancers such as breast cancer; this covers the first probe used, and any further probes examined on the sample are charged in addition.

Rates data updated October 2026.

How much does Gene Probe Study On A Tissue Sample cost?

$162

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $437 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$67.61 to $200
FacilityA hospital or hospital-owned outpatient department$437$209 to $562

How much rates vary

Facilitymedian $437 · 10th to 90th $123 to $1,072Professionalmedian $141 · 10th to 90th $45 to $234
$50$100$200$500$1K$2Kfacility $437professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$165.96
Typical High
$446.68
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$87.10
Median
$117.49
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$123.03
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$34.67
Typical High
$56.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$87.10
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$512.86
Typical High
$2,344.23
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$151.36
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$199.53
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$67.61
Median
$141.25
Typical High
$208.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$52.48
Typical High
$70.79
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$85.11
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$229.09
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$63.10
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$147.91
Typical High
$275.42
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$954.99
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$52.48
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$109.65
Typical High
$169.82

Where Illinois sits

The same service costs 5.4 times more in Wisconsin than in Alabama. 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.

Illinois· 27th of 51

$162

WI $316AL $58.88

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.