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Hereditary Colon Cancer RNA Add-On

Illinois rates for HCPCS 0130U

Adds RNA analysis of ten genes tied to inherited colon cancer risk, among them APC, MLH1, MSH2, MSH6, PMS2, MUTYH, CDH1 and CHEK2, to a main inherited-cancer genetic test. Reading the genes' working copies can clarify DNA changes whose meaning is unclear.

Rates data updated July 2026.

How much does Hereditary Colon Cancer RNA Add-On cost?

$550

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $891 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 5 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$479$437 to $550
FacilityA hospital or hospital-owned outpatient department$891$603 to $1,175

How much rates vary

Facilitymedian $891 · 10th to 90th $479 to $1,288Professionalmedian $479 · 10th to 90th $316 to $1,023
$500$1K$2Kfacility $891professional $479

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
$478.63
Median
$891.25
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$794.33
Typical High
$1,071.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$616.60

Where Illinois sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Illinois· 25th of 51

$550

AK $1,318NE $389

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.