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Breast Precancer Protein Risk Score

New Jersey 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?

$1,622

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $3,162 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 5 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$1,514$1,148 to $1,622
FacilityA hospital or hospital-owned outpatient department$3,162$2,512 to $8,710

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,905 to $13,490Professionalmedian $1,514 · 10th to 90th $1,000 to $2,188
$200$500$1K$2K$5K$10K$20Kfacility $3,162professional $1,514

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
$2,454.71
Median
$2,511.89
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,168.69
Typical High
$8,709.64
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$3,548.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,905.46
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,949.84

Where New Jersey 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.

New Jersey· 33rd of 51

$1,622

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.