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Hereditary Breast Cancer RNA Add-On

Kentucky 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?

$708

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,349 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$501$501 to $891
FacilityA hospital or hospital-owned outpatient department$1,349$708 to $2,399

How much rates vary

Facilitymedian $1,349 · 10th to 90th $589 to $17,783Professionalmedian $501 · 10th to 90th $479 to $1,698
$100$500$2K$10K$50Kfacility $1,349professional $501

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
$588.84
Median
$891.25
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$10,715.19
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Kentucky 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.

Kentucky· 23rd of 50

$708

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.