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BRCA1 Gene Analysis

Connecticut 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?

$302

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $468 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$200$182 to $398
FacilityA hospital or hospital-owned outpatient department$468$302 to $646

How much rates vary

Facilitymedian $468 · 10th to 90th $302 to $832Professionalmedian $200 · 10th to 90th $158 to $676
$200$500$1K$2Kfacility $468professional $200

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
$302.00
Median
$436.52
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$302.00
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$602.56
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$251.19
Typical High
$501.19

Where Connecticut 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.

Connecticut· 23rd of 51

$302

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.