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BRCA1 Gene Analysis

Idaho 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?

$309

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $525 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$309$282 to $363
FacilityA hospital or hospital-owned outpatient department$525$302 to $912

How much rates vary

Facilitymedian $525 · 10th to 90th $302 to $1,660Professionalmedian $309 · 10th to 90th $209 to $589
$200$500$1K$2Kfacility $525professional $309

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
$549.54
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,071.52
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,096.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00

Where Idaho 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.

Idaho· 14th of 51

$309

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.