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Breast Cancer Slide Image Risk Score

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $2,188 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$427$81.28 to $562
FacilityA hospital or hospital-owned outpatient department$2,188$2,188 to $2,188

How much rates vary

Facilitymedian $2,188 · 10th to 90th $813 to $9,772Professionalmedian $427 · 10th to 90th $60 to $708
$100$500$2K$10Kfacility $2,188professional $427

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
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$9,772.37
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$10,964.78
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,174.90
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

Where Ohio 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.

Ohio· 50th 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.