go back

Breast Precancer Protein Risk Score

Colorado 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?

$2,455

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $5,129 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 7 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$1,445$1,148 to $1,445
FacilityA hospital or hospital-owned outpatient department$5,129$2,818 to $7,943

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,905 to $9,550Professionalmedian $1,445 · 10th to 90th $794 to $1,778
$1K$2K$5K$10Kfacility $5,129professional $1,445

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
$1,445.44
Median
$4,168.69
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,623.41
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$2,754.23
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,691.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$3,981.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,412.54

Where Colorado 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.

Colorado· 5th of 51

$2,455

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.