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BRCA1 Gene Analysis

Florida 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?

$219

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $490 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 7 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$209$182 to $245
FacilityA hospital or hospital-owned outpatient department$490$269 to $871

How much rates vary

Facilitymedian $490 · 10th to 90th $219 to $1,479Professionalmedian $209 · 10th to 90th $158 to $302
$10$20$50$100$200$500$1Kfacility $490professional $209

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
$218.78
Median
$489.78
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$269.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$354.81
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$512.86
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$302.00

Where Florida 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.

Florida· 50th of 51

$219

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.