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Tumor BRCA And Instability Score

Maine rates for HCPCS 0172U

Examines a solid tumor for changes in the BRCA1 and BRCA2 genes and adds a score for genomic instability, a measure of how disordered the tumor's DNA has become. Together these help the care team judge which treatments are likely to suit the tumor.

Rates data updated July 2026.

How much does Tumor BRCA And Instability Score cost?

$3,020

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $4,898 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$3,020$1,820 to $3,020
FacilityA hospital or hospital-owned outpatient department$4,898$3,020 to $15,488

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,020 to $19,498Professionalmedian $3,020 · 10th to 90th $1,738 to $3,090
$2K$5K$10K$20Kfacility $4,898professional $3,020

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
$3,019.95
Median
$3,019.95
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$19,498.45
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,630.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$7,585.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$4,570.88

Where Maine sits

The same service costs 4.5 times more in Alaska than in Kentucky. 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.

Maine· 20th of 51

$3,020

AK $6,761KY $1,514

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.