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Hereditary Breast Cancer RNA Add-On

California rates for HCPCS 0131U

Adds RNA analysis of thirteen genes centered on inherited breast cancer risk to a main genetic test. Reading the genes' working copies helps clarify DNA changes whose meaning is uncertain.

Rates data updated July 2026.

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

$603

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,862 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$537$457 to $603
FacilityA hospital or hospital-owned outpatient department$1,862$1,230 to $3,236

How much rates vary

Facilitymedian $1,862 · 10th to 90th $776 to $4,074Professionalmedian $537 · 10th to 90th $389 to $1,413
$500$1K$2K$5Kfacility $1,862professional $537

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
$724.44
Median
$1,659.59
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$5,370.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,348.96

Where California sits

The same service costs 8.9 times more in South Carolina 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.

California· 28th of 50

$603

SC $3,388DE $380

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.