CPT 0155U Pathology/Laboratory
DNA analysis for detection of PIK3CA gene mutation in breast growth tissue Cost
Body System: General
Medicare Facility Rate
$275
CMS PFS CY2026
Medicare Non-Facility Rate
$275
Office/clinic setting
Frequently Asked Questions
How much does DNA analysis for detection of PIK3CA gene mutation in breast growth tissue cost?
The Medicare facility rate is $275. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does DNA analysis for detection of PIK3CA gene mutation in breast growth tissue cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $275.