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Gene Probe Study On A Tissue Sample

North Carolina 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 July 2026.

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

$105

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $105 to $174.

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

Professionalmedian $105 · 10th to 90th $85 to $269
$100.0$200.0$500.0$1.0Kprofessional $105

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$26.92
Median
$34.67
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$32.36
Typical High
$91.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$72.44
Typical High
$165.96
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$104.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$144.54
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$38.02
Typical High
$109.65
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$75.86
Typical High
$162.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$331.13
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$41.69
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$83.18
Typical High
$181.97
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,258.93
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$389.05
Median
$416.87
Typical High
$416.87
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$794.33
Typical High
$912.01

Where North Carolina sits

The same service costs 3.0 times more in Minnesota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $105 · 46th of 51
MN $295FL $97.72

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.