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Gene Probe Study On A Tissue Sample

Vermont 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?

$200

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $85.11 to $269.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $200 · 10th to 90th $85 to $269
$100.0$200.0professional $200

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
Professional
Modifier
Global
Typical Low
$85.11
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$194.98
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$346.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$79.43
Typical High
$173.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$177.83
Typical High
$251.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$234.42
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$40.74
Typical High
$64.57
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$107.15
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$213.80
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$52.48
Typical High
$107.15
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$93.33
Typical High
$151.36

Where Vermont 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.

Vermont $200 · 14th 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.