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Hereditary Breast Cancer RNA Add-On

Texas 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?

$851

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,072 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 6 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$427 to $537
FacilityA hospital or hospital-owned outpatient department$1,072$646 to $1,318

How much rates vary

Facilitymedian $1,072 · 10th to 90th $468 to $3,162Professionalmedian $501 · 10th to 90th $389 to $3,311
$100$200$500$1K$2K$5Kfacility $1,072professional $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
$467.74
Median
$1,023.29
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,047.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$5,370.32
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Texas 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.

Texas· 19th of 50

$851

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.