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BRCA1 Gene Sequencing

South Dakota rates for HCPCS 81165

Reads through the BRCA1 gene in a blood or saliva sample, letter by letter, looking for changes that stop it working properly. BRCA1 normally helps repair damaged DNA, and inherited faults in it substantially raise the lifetime risk of breast and ovarian cancer. Results guide screening, preventive options, and testing of relatives.

Rates data updated October 2026.

How much does BRCA1 Gene Sequencing cost?

$324

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $324 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$200 to $537
FacilityA hospital or hospital-owned outpatient department$324$324 to $537

How much rates vary

Facilitymedian $324 · 10th to 90th $269 to $537Professionalmedian $282 · 10th to 90th $145 to $676
$200$500$1Kfacility $324professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$323.59
Typical High
$323.59
Medica
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$257.04
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$660.69
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where South Dakota sits

The same service costs 4.6 times more in Texas 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.

South Dakota· 14th of 51

$324

TX $776DE $170

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.