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Gene Probe Study On A Tissue Sample

Kentucky 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?

$135

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $110 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$85.11 to $263
FacilityA hospital or hospital-owned outpatient department$110$105 to $186

How much rates vary

Facilitymedian $110 · 10th to 90th $68 to $251Professionalmedian $135 · 10th to 90th $76 to $447
$50$100$200$500facility $110professional $135

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$109.65
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$109.65
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$32.36
Typical High
$81.28
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$77.62
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$120.23
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$42.66
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$91.20
Typical High
$154.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$104.71
Typical High
$181.97
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$45.71
Median
$53.70
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$12.59
Median
$58.88
Typical High
$85.11
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$25.12
Median
$117.49
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$251.19
Typical High
$707.95
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$85.11
Typical High
$338.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$169.82
Typical High
$512.86
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$147.91
Typical High
$288.40
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$60.26
Typical High
$97.72
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$91.20
Typical High
$186.21

Where Kentucky 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.

Kentucky· 41st of 51

$135

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.