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Breast Cancer Gene Activity Recurrence Score

Wisconsin 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?

$4,677

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $10,471 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 12 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$4,467$1,862 to $8,913
FacilityA hospital or hospital-owned outpatient department$10,471$4,677 to $11,482

How much rates vary

Facilitymedian $10,471 · 10th to 90th $3,890 to $16,596Professionalmedian $4,467 · 10th to 90th $1,549 to $13,183
$10.0$100.0$1.0K$10.0Kfacility $10,471professional $4,467

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
$4,677.35
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,471.29
Typical High
$10,715.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$15,848.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,248.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$9,332.54
Typical High
$12,022.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$14,454.40
Typical High
$21,877.62
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$25,703.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$12,022.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$2,041.74
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$6,025.60
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,165.95
Typical High
$10,964.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$11,748.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$9,120.11
Typical High
$12,882.50
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$18,197.01
Typical High
$18,197.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$19,498.45
Typical High
$19,498.45
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$8,317.64
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,090.30
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$5,754.40

Where Wisconsin sits

The same service costs 6.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $4,677 · 6th of 51
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.