go back

PALB2 Gene RNA Analysis

Missouri rates for HCPCS 0137U

Examines the PALB2 gene, which is linked to inherited breast and pancreatic cancer risk, by reading its RNA, the working copy of the gene. It is added to a main genetic test to help decide whether a PALB2 change found in DNA actually affects how the gene works.

Rates data updated July 2026.

How much does PALB2 Gene RNA Analysis cost?

$275

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $427 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$245$170 to $324
FacilityA hospital or hospital-owned outpatient department$427$282 to $490

How much rates vary

Facilitymedian $427 · 10th to 90th $257 to $646Professionalmedian $245 · 10th to 90th $170 to $490
$200$500$1Kfacility $427professional $245

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
$275.42
Median
$478.63
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$331.13

Where Missouri sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Missouri· 28th of 51

$275

AK $631NE $186

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.