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Gene Probe Study On A Tissue Sample

Utah 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?

$105

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $589 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$100$77.62 to $129
FacilityA hospital or hospital-owned outpatient department$589$191 to $776

How much rates vary

Facilitymedian $589 · 10th to 90th $191 to $933Professionalmedian $100 · 10th to 90th $35 to $166
$50$100$200$500$1Kfacility $589professional $100

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$134.90
Median
$724.44
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$95.50
Median
$144.54
Typical High
$309.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$45.71
Typical High
$95.50
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$81.28
Typical High
$218.78
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$93.33
Typical High
$128.82
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$741.31
Typical High
$1,071.52
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$162.18
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$47.86
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$117.49
Typical High
$186.21
Select Health
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$120.23
Typical High
$234.42
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$134.90
Typical High
$239.88

Where Utah 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.

Utah· 50th of 51

$105

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.