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Breast Cancer Slide Image Risk Score

New York 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?

$427

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $603 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 8 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$389$60.26 to $575
FacilityA hospital or hospital-owned outpatient department$603$575 to $1,175

How much rates vary

Facilitymedian $603 · 10th to 90th $575 to $1,175Professionalmedian $389 · 10th to 90th $60 to $708
$100$200$500$1Kfacility $603professional $389

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
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$3,388.44
Typical High
$3,388.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$870.96
Typical High
$1,230.27
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$1,258.93
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$977.24
Univera
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,698.24

Where New York 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 York· 47th of 51

$427

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.