go back

BRCA1 Gene Analysis

New Jersey 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?

$257

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $501 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$240$186 to $257
FacilityA hospital or hospital-owned outpatient department$501$398 to $1,413

How much rates vary

Facilitymedian $501 · 10th to 90th $302 to $3,020Professionalmedian $240 · 10th to 90th $158 to $380
$200$500$1K$2K$5K$10K$20Kfacility $501professional $240

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
$389.05
Median
$398.11
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$616.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$575.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$316.23

Where New Jersey 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.

New Jersey· 35th of 51

$257

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.