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BRCA1 Gene Analysis

New York 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 New York, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $245 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 9 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$166 to $363
FacilityA hospital or hospital-owned outpatient department$501$302 to $692

How much rates vary

Facilitymedian $501 · 10th to 90th $245 to $832Professionalmedian $245 · 10th to 90th $120 to $575
$200$500$1K$2Kfacility $501professional $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
$512.86
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$602.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$302.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$645.65
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$1,096.48
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$831.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$575.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$537.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$389.05
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$676.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$371.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$602.56

Where New York 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 York· 18th 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.