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Breast Precancer Protein Risk Score

Vermont 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?

$2,344

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $1,318 to $2,344.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,905 to $3,162Professionalmedian $2,344 · 10th to 90th $1,318 to $2,344
$1K$2Kfacility $1,905professional $2,344

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,905.46
Typical High
$3,981.07

Where Vermont 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.

Vermont· 6th of 51

$2,344

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.