go back

BRCA1 Gene Analysis

Illinois 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?

$245

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 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 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$245$191 to $282
FacilityA hospital or hospital-owned outpatient department$457$309 to $617

How much rates vary

Facilitymedian $457 · 10th to 90th $245 to $832Professionalmedian $245 · 10th to 90th $3 to $513
$10$100$1Kfacility $457professional $245

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
$245.47
Median
$457.09
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$208.93
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$371.54
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$891.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$302.00

Where Illinois 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.

Illinois· 38th of 51

$245

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.