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Breast Precancer Protein Risk Score

Pennsylvania 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 June 2026.

Facilitymedian $4,898 · 10th–90th $1,995$7,9430%10%10th90th$4,898Professionalmedian $1,514 · 10th–90th $1,072$2,9510%20%40%10th90th$1,514$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,128.61
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,344.23
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$2,691.53
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$4,786.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,630.78
Typical High
$6,760.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,187.76
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
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
$794.33
Median
$1,148.15
Typical High
$2,511.89