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Breast Precancer Protein Risk Score

California 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?

$1,820

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $4,365 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 9 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$1,622$1,259 to $2,188
FacilityA hospital or hospital-owned outpatient department$4,365$2,818 to $8,128

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,660 to $10,471Professionalmedian $1,622 · 10th to 90th $794 to $3,631
$100$200$500$1K$2K$5K$10Kfacility $4,365professional $1,622

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
$2,089.30
Median
$4,365.16
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$3,019.95
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,311.31
Typical High
$6,309.57
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,311.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$14,125.38
Typical High
$14,125.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,905.46
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$3,981.07

Where California 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.

California· 25th of 51

$1,820

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.