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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 October 2026.

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

$200

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $174 to $269.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Facilitymedian $407 · 10th to 90th $174 to $1,995Professionalmedian $195 · 10th to 90th $102 to $269
$100$200$500$1K$2Kfacility $407professional $195

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
Professional
Modifier
None
Typical Low
$85.11
Median
$269.15
Typical High
$269.15
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$1,122.02
Typical High
$1,995.26
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$186.21
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$208.93
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$177.83
Typical High
$426.58

Where Vermont 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.

Vermont· 19th of 51

$200

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.