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Hereditary Breast Cancer RNA Add-On

Iowa 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?

$1,349

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,660 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$1,072$603 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,660$933 to $1,862

How much rates vary

Facilitymedian $1,660 · 10th to 90th $708 to $2,042Professionalmedian $1,072 · 10th to 90th $427 to $1,950
$200$500$1K$2Kfacility $1,660professional $1,072

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
$1,071.52
Median
$1,659.59
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$933.25
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Iowa 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.

Iowa· 3rd of 50

$1,349

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.