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Breast Precancer Protein Risk Score

Florida 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?

$1,380

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $3,548 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$1,318$1,148 to $1,549
FacilityA hospital or hospital-owned outpatient department$3,548$1,820 to $5,623

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,380 to $10,233Professionalmedian $1,318 · 10th to 90th $1,000 to $1,820
$200$500$1K$2K$5K$10Kfacility $3,548professional $1,318

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
$1,380.38
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,659.59
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$9,120.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,905.46
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
$660.69
Median
$812.83
Typical High
$2,511.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,905.46

Where Florida 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.

Florida· 48th of 51

$1,380

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.