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Founder Changes In Breast Cancer Genes

South Carolina rates for HCPCS 81212

Checks the two genes most strongly linked to inherited breast and ovarian cancer, but only at the particular spots where a handful of well-known changes occur. These changes are found much more often in families of Ashkenazi Jewish descent, so testing those spots alone can answer the question quickly for someone with that background.

Rates data updated July 2026.

How much does Founder Changes In Breast Cancer Genes cost?

$355

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $813 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$347$347 to $363
FacilityA hospital or hospital-owned outpatient department$813$347 to $1,413

How much rates vary

Facilitymedian $813 · 10th to 90th $309 to $2,089Professionalmedian $347 · 10th to 90th $186 to $457
$100$200$500$1K$2Kfacility $813professional $347

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
$309.03
Median
$1,071.52
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$204.17
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$186.21
Typical High
$398.11

Where South Carolina sits

The same service costs 5.6 times more in Alaska than in Rhode Island. 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 Carolina· 39th of 51

$355

AK $1,000RI $178

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.