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Breast Cancer Gene Activity Recurrence Score

Vermont 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?

$2,818

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $2,818 to $3,890.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,890 to $6,457Professionalmedian $2,818 · 10th to 90th $2,818 to $3,890
$2K$5Kfacility $3,890professional $2,818

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,570.88
Typical High
$8,709.64
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$4,466.84
Typical High
$8,511.38

Where Vermont 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.

Vermont· 50th of 51

$2,818

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.