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BRCA1 Gene Analysis

South Dakota 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?

$457

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $575 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$398$234 to $708
FacilityA hospital or hospital-owned outpatient department$575$550 to $575

How much rates vary

Facilitymedian $575 · 10th to 90th $339 to $575Professionalmedian $398 · 10th to 90th $204 to $724
$200$500facility $575professional $398

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
$208.93
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where South Dakota 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.

South Dakota· 4th of 51

$457

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.