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Breast Cancer Slide Image Risk Score

Texas 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?

$447

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $708 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$437$427 to $525
FacilityA hospital or hospital-owned outpatient department$708$603 to $912

How much rates vary

Facilitymedian $708 · 10th to 90th $513 to $1,259Professionalmedian $437 · 10th to 90th $389 to $562
$100$200$500$1K$2K$5Kfacility $708professional $437

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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$537.03
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,248.07
Typical High
$5,248.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$630.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$707.95
Typical High
$1,000.00

Where Texas 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.

Texas· 46th of 51

$447

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.