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BRCA1 Gene Analysis

Washington, DC 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?

$224

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $224 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$224 to $234
FacilityA hospital or hospital-owned outpatient department$224$224 to $363

How much rates vary

Facilitymedian $224 · 10th to 90th $224 to $513Professionalmedian $224 · 10th to 90th $219 to $389
$200$500$1K$2K$5K$10Kfacility $224professional $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. 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
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$3,090.30
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$281.84

Where Washington, DC 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.

Washington, DC· 47th of 51

$224

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.