go back

Breast Cancer Gene Activity Recurrence Score

Georgia rates for HCPCS 81519

A laboratory test run on breast tumor tissue already removed at biopsy or surgery, measuring how active a panel of genes is and combining the readings into a single score. The score estimates how likely the cancer is to come back and how much benefit chemotherapy would be expected to add to hormone treatment. It is used to help decide whether chemotherapy is worthwhile.

Rates data updated October 2026.

How much does Breast Cancer Gene Activity Recurrence Score cost?

$1,738

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $5,012 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,549$1,549 to $3,467
FacilityA hospital or hospital-owned outpatient department$5,012$3,802 to $7,762

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,570 to $13,490Professionalmedian $1,549 · 10th to 90th $977 to $6,761
$100$200$500$1K$2K$5K$10Kfacility $5,012professional $1,549

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
$2,570.40
Median
$2,570.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,019.95
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$4,677.35
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,548.82
Typical High
$4,786.30
CareSource
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$7,585.78
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$5,888.44
Typical High
$15,135.61
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$7,413.10
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$8,317.64
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$512.86
Median
$602.56
Typical High
$741.31

Where Georgia sits

The same service costs 5.4 times more in Alaska than in Alabama. 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.

Georgia· 50th of 51

$1,738

AK $8,710AL $1,622

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.