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Breast Cancer Gene Activity Recurrence Score

Virginia 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 July 2026.

How much does Breast Cancer Gene Activity Recurrence Score cost?

$3,890

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $4,266 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 8 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$2,884$1,862 to $3,715
FacilityA hospital or hospital-owned outpatient department$4,266$3,890 to $8,511

How much rates vary

Facilitymedian $4,266 · 10th to 90th $3,311 to $15,136Professionalmedian $2,884 · 10th to 90th $1,549 to $7,413
$1K$2K$5K$10K$20Kfacility $4,266professional $2,884

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
$2,884.03
Median
$8,128.31
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,311.31
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,630.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$10,232.93
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$9,332.54
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$5,370.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$5,370.32
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$6,606.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$8,128.31
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,570.88
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,570.88
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,890.45
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$4,786.30

Where Virginia sits

The same service costs 6.9 times more in Alaska than in Kentucky. 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.

Virginia· 21st of 51

$3,890

AK $8,710KY $1,259

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.