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Breast Cancer Slide Image Risk Score

Iowa 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?

$617

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 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 7 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$617$550 to $692
FacilityA hospital or hospital-owned outpatient department$1,349$851 to $1,349

How much rates vary

Facilitymedian $1,349 · 10th to 90th $676 to $3,388Professionalmedian $617 · 10th to 90th $427 to $1,072
$500$1K$2Kfacility $1,349professional $617

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
$1,348.96
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$3,548.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Iowa 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.

Iowa· 19th of 51

$617

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.