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BRCA Test For Large Missing Or Repeated Sections

Wisconsin 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 July 2026.

How much does BRCA Test For Large Missing Or Repeated Sections cost?

$1,349

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $1,349 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$1,660$537 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,349$1,230 to $1,514

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,148 to $2,138Professionalmedian $1,660 · 10th to 90th $65 to $1,995
$20$50$100$200$500$1K$2Kfacility $1,349professional $1,660

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
$1,148.15
Median
$1,348.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,659.59
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$1,348.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,511.89
Typical High
$2,511.89

Where Wisconsin sits

The same service costs 251.2 times more in North Carolina 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· 8th of 32

$1,349

NC $2,512FL $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.