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BRCA Test For Large Missing Or Repeated Sections

New York rates for HCPCS 81213

A genetic test that examines the BRCA1 and BRCA2 genes for whole sections that are missing or repeated, rather than for single-letter spelling changes. It is used when reading the gene sequence has not explained a strong personal or family history of breast or ovarian cancer, because changes on this scale can be missed by sequencing alone.

Rates data updated October 2026.

How much rates vary

Facilitymedian $20 · 10th to 90th $14 to $257Professionalmedian $912 · 10th to 90th $912 to $912
$20$50$100$200$500$1Kfacility $20professional $912

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
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$19.95
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01