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BRCA1 Gene Analysis

New Mexico 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?

$363

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $339 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$339$224 to $380
FacilityA hospital or hospital-owned outpatient department$457$269 to $912

How much rates vary

Facilitymedian $457 · 10th to 90th $195 to $977Professionalmedian $339 · 10th to 90th $126 to $1,995
$100$200$500$1K$2Kfacility $457professional $339

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
Facility
Modifier
Global
Typical Low
$457.09
Median
$912.01
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$269.15
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88

Where New Mexico 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 Mexico· 9th of 51

$363

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.