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Hereditary Breast Cancer RNA Add-On

Idaho 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 October 2026.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,288 to $1,288Professionalmedian $427 · 10th to 90th $427 to $501
$500$1Kfacility $1,288professional $427

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Moda Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58