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Breast Cancer Slide Image Risk Score

North Carolina 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?

$603

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $562 to $708.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $537 to $1,023Professionalmedian $603 · 10th to 90th $468 to $1,175
$500$1K$2Kfacility $631professional $603

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
$467.74
Median
$562.34
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,258.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$776.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,248.07

Where North Carolina 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.

North Carolina· 23rd of 51

$603

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.