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Gene Probe Study On A Tissue Sample

Maine 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 Maine, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $107 to $219.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $166Professionalmedian $145 · 10th to 90th $71 to $331
$100$200$500facility $107professional $145

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$208.93
Typical High
$478.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$144.54
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$194.98
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$134.90
Typical High
$263.03

Where Maine 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.

Maine· 39th 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.