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Texas 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 $724 · 10th–90th $347–$2,7540%10%10th90th$724Professionalmedian $447 · 10th–90th $295–$7590%20%10th90th$447$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$346.74 / $870.96 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $467.74 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $380.19
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,096.48 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $371.54 / $912.01
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,365.16 / $4,365.16
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $588.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $630.96 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $588.84 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $588.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $588.84