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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 July 2026.

How much does Founder Changes In Breast Cancer Genes cost?

$263

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $501 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$186$158 to $389
FacilityA hospital or hospital-owned outpatient department$501$158 to $871

How much rates vary

Facilitymedian $501 · 10th to 90th $158 to $871Professionalmedian $186 · 10th to 90th $138 to $437
$100$200$500$1K$2Kfacility $501professional $186

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
$158.49
Median
$158.49
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$416.87
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$398.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$389.05
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$263.03

Where Utah 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.

Utah· 49th of 51

$263

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.