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Hereditary Breast Cancer RNA Add-On

Washington 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?

$708

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $708 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$646$501 to $708
FacilityA hospital or hospital-owned outpatient department$708$708 to $1,047

How much rates vary

Facilitymedian $708 · 10th to 90th $708 to $2,188Professionalmedian $646 · 10th to 90th $427 to $851
$50$100$200$500$1K$2K$5Kfacility $708professional $646

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
$933.25
Median
$1,000.00
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$501.19
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$812.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$2,187.76
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$707.95

Where Washington 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.

Washington· 24th of 50

$708

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.