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BRCA1 Gene Analysis

Virginia 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?

$263

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $324 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 8 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$224$138 to $257
FacilityA hospital or hospital-owned outpatient department$324$302 to $661

How much rates vary

Facilitymedian $324 · 10th to 90th $257 to $1,380Professionalmedian $224 · 10th to 90th $120 to $550
$200$500$1K$2K$5K$10Kfacility $324professional $224

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
$223.87
Median
$630.96
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$204.17
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$4,570.88
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$630.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$346.74

Where Virginia 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.

Virginia· 31st of 51

$263

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.