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BRCA1 And BRCA2 RNA Analysis

Rhode Island rates for HCPCS 0138U

Reads the RNA, or working copies, of the BRCA1 and BRCA2 genes, which are linked to inherited breast and ovarian cancer risk. It is added to a main genetic test to help decide whether a DNA change in either gene actually affects how the gene works.

Rates data updated July 2026.

How much does BRCA1 And BRCA2 RNA Analysis cost?

$331

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $1,349 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 4 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$331$331 to $347
FacilityA hospital or hospital-owned outpatient department$1,349$1,000 to $2,138

How much rates vary

Facilitymedian $1,349 · 10th to 90th $562 to $2,138Professionalmedian $331 · 10th to 90th $282 to $468
$0.1$1$10$100$1Kfacility $1,349professional $331

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$1,000.00
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$676.08

Where Rhode Island sits

The same service costs 4.3 times more in Alaska 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.

Rhode Island· 50th of 51

$331

AK $1,047DE $245

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.