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BRCA1 Gene Analysis

Arizona rates for HCPCS 81166

A laboratory test that examines the BRCA1 gene, in which inherited changes raise the risk of breast and ovarian cancer. It is generally run on a blood or saliva sample and is ordered when a personal or family history points to a cancer risk running in the family.

Rates data updated July 2026.

How much does BRCA1 Gene Analysis cost?

$240

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $457 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 5 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$224$204 to $251
FacilityA hospital or hospital-owned outpatient department$457$302 to $933

How much rates vary

Facilitymedian $457 · 10th to 90th $229 to $1,202Professionalmedian $224 · 10th to 90th $126 to $347
$200$500$1K$2Kfacility $457professional $224

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
$323.59
Median
$457.09
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$870.96
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00

Where Arizona sits

The same service costs 3.3 times more in Alaska 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.

Arizona· 41st of 51

$240

AK $676DE $204

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.