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BRCA1 Family Change Testing

New Mexico 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 October 2026.

How much does BRCA1 Family Change Testing cost?

$224

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $339 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$38.90 to $427
FacilityA hospital or hospital-owned outpatient department$339$245 to $1,202

How much rates vary

Facilitymedian $339 · 10th to 90th $245 to $1,230Professionalmedian $158 · 10th to 90th $39 to $537
$50$100$200$500$1Kfacility $339professional $158

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
$281.84
Median
$1,202.26
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$446.68
Typical High
$446.68
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$338.84
Typical High
$851.14
Molina
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Providence
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Providence
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$501.19
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$93.33
Typical High
$223.87

Where New Mexico sits

The same service costs 10.2 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.

New Mexico· 38th of 51

$224

TX $1,122NC $110

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.