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Breast Cancer Slide Image Risk Score

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $427 to $603.

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 $16,218 · 10th to 90th $13,804 to $28,184Professionalmedian $550 · 10th to 90th $372 to $603
$500$1K$2K$5K$10K$20Kfacility $16,218professional $550

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
$389.05
Median
$549.54
Typical High
$602.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,122.02
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$28,183.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$707.95

Where New Jersey 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.

New Jersey· 33rd 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.