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Breast Precancer Protein Risk Score

Ohio 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?

$1,514

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $3,236 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 8 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$1,148$87.10 to $1,622
FacilityA hospital or hospital-owned outpatient department$3,236$1,905 to $4,169

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,778 to $4,677Professionalmedian $1,148 · 10th to 90th $68 to $3,020
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $1,148

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
$1,778.28
Median
$3,388.44
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$2,454.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$26,302.68
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$29,512.09
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$10,471.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,187.76

Where Ohio 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.

Ohio· 39th of 51

$1,514

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.