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Breast Precancer Protein Risk Score

Utah 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?

$1,698

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $9,120 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$1,660$1,514 to $1,698
FacilityA hospital or hospital-owned outpatient department$9,120$1,905 to $9,120

How much rates vary

Facilitymedian $9,120 · 10th to 90th $1,698 to $12,023Professionalmedian $1,660 · 10th to 90th $794 to $1,950
$50$200$1K$5Kfacility $9,120professional $1,660

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
$1,698.24
Median
$9,120.11
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,905.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,659.59
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,905.46

Where Utah 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.

Utah· 29th of 51

$1,698

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.