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Tumor BRCA And Instability Score

Vermont 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?

$3,715

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $2,138 to $3,715.

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.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $3,020 to $5,129Professionalmedian $3,715 · 10th to 90th $2,138 to $3,715
$2K$5K$10Kfacility $3,020professional $3,715

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
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$3,019.95
Typical High
$13,489.63

Where Vermont 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.

Vermont· 9th of 51

$3,715

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.