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Full Reading Of Both Breast Cancer Genes

Utah rates for HCPCS 81163

Reads the DNA of both of the genes most strongly linked to inherited breast and ovarian cancer, from end to end, looking for changes that raise a person's risk. It is used when family history suggests an inherited cause and the exact change in the family is not already known.

Rates data updated July 2026.

How much does Full Reading Of Both Breast Cancer Genes cost?

$417

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $2,239 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 7 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$417$398 to $417
FacilityA hospital or hospital-owned outpatient department$2,239$537 to $2,291

How much rates vary

Facilitymedian $2,239 · 10th to 90th $417 to $2,951Professionalmedian $417 · 10th to 90th $195 to $537
$100.0$200.0$500.0$1.0K$2.0Kfacility $2,239professional $417

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
$416.87
Median
$2,290.87
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$489.78
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,905.46
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$537.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$467.74

Where Utah sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $417 · 32nd of 51
AK $1,047DE $316

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.