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New York rates for HCPCS 81164

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)

Facilitymedian $1,023 · 10th–90th $501$1,6220%10%20%10th90th$1,023Professionalmedian $479 · 10th–90th $234$1,1220%10%10th90th$479$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,047.13 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $1,148.15
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $588.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,258.93 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $724.44 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $524.81 / $1,096.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $549.54 / $1,047.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $588.84 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $1,148.15
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $724.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $575.44 / $1,148.15