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BRCA1 And BRCA2 Full Gene Analysis

Wisconsin rates for HCPCS 81211

A genetic test that reads through the full sequence of the BRCA1 and BRCA2 genes from a blood or saliva sample and also checks BRCA1 for the common large missing or duplicated stretches. Inherited changes in these genes raise the lifetime risk of breast, ovarian, and certain other cancers. Results guide screening, preventive options, and testing for relatives.

Rates data updated July 2026.

How much does BRCA1 And BRCA2 Full Gene Analysis cost?

$2,818

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $5,754 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 4 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$1,514$1,349 to $2,884
FacilityA hospital or hospital-owned outpatient department$5,754$5,129 to $6,607

How much rates vary

Facilitymedian $5,754 · 10th to 90th $4,898 to $9,333Professionalmedian $1,514 · 10th to 90th $65 to $8,318
$20$100$500$2K$10Kfacility $5,754professional $1,514

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,754.40
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$10,715.19
Typical High
$10,715.19

Where Wisconsin sits

The same service costs 1288.2 times more in Illinois than in Florida. 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.

Wisconsin· 15th of 32

$2,818

IL $12,882FL $10.00

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.