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Inherited Breast Cancer Panel, Large Changes

North Carolina rates for HCPCS 81433

A genetic test on a blood sample that examines a group of genes linked to inherited breast, ovarian and related cancers. It searches for whole sections of a gene that are missing or duplicated, a kind of change that tests reading the sequence letter by letter cannot detect. It is generally run alongside sequence testing rather than on its own.

Facilitymedian $1,318 · 10th–90th $363$1,3180%50%10th$1,318Professionalmedian $398 · 10th–90th $245$1,1220%10%20%10th90th$398$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$630.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$776.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76