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Breast Precancer Protein Risk Score

Maine 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 Maine, 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 $1,905 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 6 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$1,549 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,905$1,905 to $4,266

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,905 to $4,786Professionalmedian $1,905 · 10th to 90th $1,148 to $1,905
$1K$2K$5Kfacility $1,905professional $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
$1,905.46
Median
$1,905.46
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,290.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,786.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,754.23

Where Maine 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.

Maine· 17th 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.