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Hereditary Breast Cancer RNA Add-On

New York 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.

Facilitymedian $603 · 10th–90th $389$2,2910%20%10th90th$603Professionalmedian $468 · 10th–90th $389$6030%20%10th90th$468$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$389.05
Median
$602.56
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$602.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,047.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58