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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.

How much does Hereditary Breast Cancer RNA Add-On cost?

$575

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $603 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$468$389 to $603
FacilityA hospital or hospital-owned outpatient department$603$575 to $1,413

How much rates vary

Facilitymedian $603 · 10th to 90th $389 to $2,291Professionalmedian $468 · 10th to 90th $389 to $603
$500$1K$2Kfacility $603professional $468

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
$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

Where New York 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 York· 35th of 50

$575

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.