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DCIS Breast Recurrence Risk Protein Score

Idaho rates for HCPCS 0295U

Estimates the chance that ductal carcinoma in situ (DCIS), an early breast cancer that has not spread outside the milk duct, will come back after treatment. Stored tumor tissue is stained to measure seven proteins (COX2, FOXA1, HER2, Ki-67, p16, PR and SIAH2), and those results are combined with clinical information into a single risk score. It reads proteins in the tissue rather than measuring gene activity.

Rates data updated July 2026.

How much does DCIS Breast Recurrence Risk Protein Score cost?

$3,715

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $3,715 to $5,495.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,230 to $8,128Professionalmedian $3,715 · 10th to 90th $1,148 to $5,495
$1K$2K$5Kfacility $5,495professional $3,715

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
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$5,495.41
Typical High
$8,128.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,456.54
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,148.15

Where Idaho sits

The same service costs 7.1 times more in Montana than in Delaware. 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.

Idaho· 11th of 51

$3,715

MT $7,079DE $1,000

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.