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DCIS Breast Recurrence Risk Protein Score

West Virginia 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?

$1,622

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,479 to $1,622.

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 $7,943 · 10th to 90th $7,413 to $7,943Professionalmedian $1,622 · 10th to 90th $955 to $1,622
$1K$2K$5K$10K$20Kfacility $7,943professional $1,622

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
$1,479.11
Median
$1,621.81
Typical High
$1,621.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$2,691.53

Where West Virginia 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.

West Virginia· 21st of 51

$1,622

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.