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BRCA1 Family Change Testing

Indiana rates for HCPCS 81215

Checks whether a person carries the one specific change in the BRCA1 gene that has already been identified in their family. Because the exact change is known, the laboratory looks only at that spot, which gives a clear answer about whether the raised breast and ovarian cancer risk has been inherited.

Rates data updated July 2026.

How much does BRCA1 Family Change Testing cost?

$316

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $372 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$309$170 to $309
FacilityA hospital or hospital-owned outpatient department$372$372 to $759

How much rates vary

Facilitymedian $372 · 10th to 90th $372 to $1,122Professionalmedian $309 · 10th to 90th $151 to $355
$100$200$500$1K$2Kfacility $372professional $309

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
$416.87
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$338.84
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$158.49
Typical High
$416.87

Where Indiana sits

The same service costs 9.1 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.

Indiana· 29th of 51

$316

AK $851RI $93.33

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.