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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 October 2026.

How much does Breast Precancer Protein Risk Score cost?

$1,549

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $2,188 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,349 to $1,622
FacilityA hospital or hospital-owned outpatient department$2,188$1,905 to $3,090

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,698 to $4,677Professionalmedian $1,479 · 10th to 90th $1,000 to $2,089
$1K$2K$5Kfacility $2,188professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$741.31
Median
$776.25
Typical High
$812.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$302.00
Median
$309.03
Typical High
$323.59
Capital Blue Cross
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,691.53
Geisinger
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$4,786.30
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$3,630.78
Typical High
$6,760.83
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,621.81
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$741.31
Median
$776.25
Typical High
$812.83
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$302.00
Median
$309.03
Typical High
$323.59
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$4,677.35
UPMC Health Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$2,290.87
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,290.87

Where Pennsylvania sits

The same service costs 12.0 times more in Texas than in Ohio. 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.

Pennsylvania· 36th of 51

$1,549

TX $9,550OH $794

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.