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Hereditary Breast Cancer Panel, 8 Genes

New Jersey rates for HCPCS 0129U

Estimates inherited breast cancer risk by sequencing eight genes: ATM, BRCA1, BRCA2, CDH1, CHEK2, PALB2, PTEN and TP53. It reads the genes' DNA directly rather than being an RNA add-on to another test.

Facilitymedian $1,698 · 10th–90th $1,318$8,1280%10%20%10th90th$1,698Professionalmedian $955 · 10th–90th $603$1,4790%20%10th90th$955$100.0$500.0$2.0K$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
$1,479.11
Median
$1,698.24
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,778.28
Typical High
$2,818.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,318.26