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Breast Cancer Slide Image Risk Score

California rates for HCPCS 0220U

Estimates the likely course of a breast cancer by having software analyze stained tumor slides and read twelve features from the images. The result is a risk score; no molecular or genetic testing is involved.

Rates data updated July 2026.

How much does Breast Cancer Slide Image Risk Score cost?

$550

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $851 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 9 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$537$295 to $661
FacilityA hospital or hospital-owned outpatient department$851$631 to $1,122

How much rates vary

Facilitymedian $851 · 10th to 90th $479 to $3,388Professionalmedian $537 · 10th to 90th $78 to $1,230
$100$200$500$1K$2K$5Kfacility $851professional $537

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
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$1,905.46
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,230.27
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,248.07
Typical High
$5,248.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$851.14
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$1,621.81

Where California sits

The same service costs 3.1 times more in Montana than in Wyoming. 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.

California· 32nd of 51

$550

MT $912WY $295

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.