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BRCA1 Gene Analysis

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $263 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 8 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$263$234 to $575
FacilityA hospital or hospital-owned outpatient department$457$302 to $794

How much rates vary

Facilitymedian $457 · 10th to 90th $234 to $871Professionalmedian $263 · 10th to 90th $182 to $1,995
$200$500$1K$2Kfacility $457professional $263

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
$234.42
Median
$630.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where Iowa 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.

Iowa· 24th 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.