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Breast Precancer Protein Risk Score

Massachusetts 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?

$1,905

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $3,311 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$1,905$1,413 to $1,905
FacilityA hospital or hospital-owned outpatient department$3,311$1,905 to $5,495

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,318 to $6,166Professionalmedian $1,905 · 10th to 90th $1,148 to $3,162
$1K$2K$5K$10Kfacility $3,311professional $1,905

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
$1,318.26
Median
$3,311.31
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,548.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$8,912.51
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,884.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$8,912.51
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$3,311.31

Where Massachusetts 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.

Massachusetts· 19th of 51

$1,905

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.