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BRCA1 Gene Analysis

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $195 to $257.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $229Professionalmedian $224 · 10th to 90th $135 to $363
$200$500$1K$2Kfacility $126professional $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
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$281.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$239.88

Where Maryland 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.

Maryland· 49th 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.