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Hereditary Breast Cancer RNA Add-On

North Carolina 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 June 2026.

Facilitymedian $2,239 · 10th–90th $562$2,3440%20%40%10th90th$2,239Professionalmedian $562 · 10th–90th $468$7080%20%10th90th$562$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,238.72
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$691.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$831.76
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$1,047.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,370.32