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Breast Precancer Protein Risk Score

New York 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?

$1,585

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,549 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 9 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$1,549$1,259 to $1,622
FacilityA hospital or hospital-owned outpatient department$3,311$1,995 to $4,467

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,549 to $5,248Professionalmedian $1,549 · 10th to 90th $1,023 to $3,020
$1K$2K$5Kfacility $3,311professional $1,549

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
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$3,890.45
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,073.80
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$9,120.11
Typical High
$9,120.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$7,244.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$3,630.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$3,388.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,570.40
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,187.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$4,570.88

Where New York 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 York· 35th of 51

$1,585

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.