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Gene Probe Study On A Tissue Sample

Virginia 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?

$126

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $115 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$89.13 to $158
FacilityA hospital or hospital-owned outpatient department$166$95.50 to $302

How much rates vary

Facilitymedian $166 · 10th to 90th $54 to $1,413Professionalmedian $115 · 10th to 90th $76 to $240
$50$200$1K$5Kfacility $166professional $115

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
$109.65
Median
$125.89
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$125.89
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$33.88
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$93.33
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$89.13
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$24.55
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$107.15
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.90
Median
$138.04
Typical High
$154.88
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$35.48
Typical High
$51.29
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$251.19
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$100.00
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$30.90
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$67.61
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$169.82
Typical High
$208.93
Medcost
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$295.12
Typical High
$295.12
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$93.33
Typical High
$141.25
Sentara
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$123.03
Typical High
$407.38
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$208.93
Typical High
$316.23
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$83.18
Typical High
$102.33
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$165.96
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$741.31
Typical High
$1,659.59
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$144.54
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$50.12
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$95.50
Typical High
$190.55

Where Virginia 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.

Virginia· 43rd of 51

$126

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.