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DCIS Breast Recurrence Risk Score

South Carolina rates for HCPCS 0045U

Estimates the risk of recurrence for ductal carcinoma in situ, an early breast condition in which abnormal cells have not spread beyond the milk duct, to help decide how much treatment is needed. It measures the activity of 12 genes in preserved breast tissue and reports a single combined score, scored for non-invasive disease rather than invasive tumors.

Rates data updated July 2026.

How much does DCIS Breast Recurrence Risk Score cost?

$3,090

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $9,550 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,020$3,020 to $3,090
FacilityA hospital or hospital-owned outpatient department$9,550$3,020 to $12,303

How much rates vary

Facilitymedian $9,550 · 10th to 90th $3,020 to $18,197Professionalmedian $3,020 · 10th to 90th $2,344 to $3,388
$2K$5K$10K$20Kfacility $9,550professional $3,020

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
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$9,549.93
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$25,703.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,168.69
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,890.45
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$3,890.45

Where South Carolina sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

South Carolina· 40th of 51

$3,090

AK $8,710NE $2,570

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.