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Hereditary Breast Cancer RNA Add-On

Wisconsin 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?

$1,230

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,950 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 8 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$813$562 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,950$1,096 to $2,512

How much rates vary

Facilitymedian $1,950 · 10th to 90th $851 to $3,467Professionalmedian $813 · 10th to 90th $407 to $2,570
$100$200$500$1K$2K$5Kfacility $1,950professional $813

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
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,949.84
Typical High
$2,238.72
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$4,466.84
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$2,041.74
Network Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,659.59
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,862.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,818.38
Typical High
$2,818.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,162.28
Typical High
$3,162.28

Where Wisconsin 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.

Wisconsin· 7th of 50

$1,230

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.