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Breast Precancer Protein Risk Score

Alabama rates for HCPCS 0067U

Estimates a person's risk of developing breast cancer from breast tissue that already shows precancerous change. Four proteins — MMP-1, CEACAM6, HYAL1 and HEC1 — are stained and measured in the preserved tissue and combined into a single risk score. No genes are read.

Rates data updated July 2026.

How much does Breast Precancer Protein Risk Score cost?

$1,259

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,549 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 4 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$1,259$1,148 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,549$692 to $2,188

How much rates vary

Facilitymedian $1,549 · 10th to 90th $603 to $2,291Professionalmedian $1,259 · 10th to 90th $1,072 to $2,188
$1K$2Kfacility $1,549professional $1,259

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
$1,905.46
Median
$2,187.76
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,698.24
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,905.46

Where Alabama sits

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

Alabama· 50th of 51

$1,259

AK $4,266DE $1,259

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.