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Founder Changes In Breast Cancer Genes

Utah 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 October 2026.

How much does Founder Changes In Breast Cancer Genes cost?

$263

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $479 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$158 to $372
FacilityA hospital or hospital-owned outpatient department$479$158 to $525

How much rates vary

Facilitymedian $479 · 10th to 90th $158 to $1,514Professionalmedian $251 · 10th to 90th $112 to $457
$100$200$500$1K$2Kfacility $479professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$257.04
Typical High
$338.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$478.63
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$457.09
Typical High
$812.83
Molina
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$223.87
Typical High
$436.52
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$501.19
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$371.54
Typical High
$398.11
Select Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$363.08
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$186.21
Typical High
$263.03

Where Utah sits

The same service costs 7.1 times more in Texas than in North Carolina. 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.

Utah· 39th of 51

$263

TX $1,380NC $195

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.