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Breast Precancer Protein Risk Score

South Dakota 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?

$3,631

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $3,631 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 7 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$3,631$1,778 to $4,571
FacilityA hospital or hospital-owned outpatient department$3,631$3,631 to $3,631

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,138 to $3,631Professionalmedian $3,631 · 10th to 90th $1,259 to $4,898
$1K$2K$5Kfacility $3,631professional $3,631

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
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46

Where South Dakota 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.

South Dakota· 2nd of 51

$3,631

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.