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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 June 2026.

Facilitymedian $3,631 · 10th–90th $1,778$3,6310%50%10th$3,631Professionalmedian $1,778 · 10th–90th $1,259$4,5710%20%10th90th$1,778$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
$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