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Hereditary Breast Cancer RNA Add-On

New Jersey 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 facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $468 to $933.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $933 · 10th to 90th $380 to $10,471Professionalmedian $562 · 10th to 90th $380 to $603
$200$500$1K$2K$5K$10K$20Kfacility $933professional $562

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
$741.31
Median
$933.25
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$602.56
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$1,445.44

Where New Jersey 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.

New Jersey· 30th 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.