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BRCA1 Family Change Testing

Pennsylvania 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?

$295

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $372 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$224 to $316
FacilityA hospital or hospital-owned outpatient department$372$302 to $661

How much rates vary

Facilitymedian $372 · 10th to 90th $178 to $1,122Professionalmedian $295 · 10th to 90th $102 to $389
$100$1K$10Kfacility $372professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$302.00
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$302.00
Typical High
$316.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$151.36
Typical High
$158.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$60.26
Typical High
$63.10
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$616.60
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$354.81
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$489.78
Typical High
$489.78
Geisinger
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Geisinger
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$562.34
Typical High
$954.99
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$302.00
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$302.00
Typical High
$316.23
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$151.36
Typical High
$158.49
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$60.26
Typical High
$63.10
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$169.82
Typical High
$933.25
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$169.82
Typical High
$436.52

Where Pennsylvania 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.

Pennsylvania· 22nd of 51

$295

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.