go back

BRCA1 Gene Analysis

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 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 6 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$302$245 to $302
FacilityA hospital or hospital-owned outpatient department$490$302 to $1,349

How much rates vary

Facilitymedian $490 · 10th to 90th $302 to $1,950Professionalmedian $302 · 10th to 90th $182 to $363
$200$500$1K$2Kfacility $490professional $302

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
$302.00
Median
$302.00
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,949.84
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,348.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$467.74

Where Maine 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.

Maine· 22nd 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.