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Gene Probe Study On A Tissue Sample

South Dakota 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?

$219

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $166 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$234$214 to $288
FacilityA hospital or hospital-owned outpatient department$166$166 to $331

How much rates vary

Facilitymedian $166 · 10th to 90th $126 to $331Professionalmedian $234 · 10th to 90th $93 to $331
$100$200$500$1Kfacility $166professional $234

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$218.78
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$165.96
Typical High
$218.78
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$218.78
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$245.47
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$69.18
Typical High
$93.33
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$177.83
Typical High
$234.42
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$89.13
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$302.00
Median
$331.13
Typical High
$331.13

Where South Dakota 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.

South Dakota· 10th of 51

$219

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.