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Breast Cancer Gene Activity Recurrence Score

Vermont rates for HCPCS 81521

A laboratory test on a sample of breast cancer tissue that measures the activity of a panel of genes and combines the results into a score estimating how likely the cancer is to come back elsewhere in the body. The score helps decide whether chemotherapy is likely to add benefit on top of hormone treatment.

Rates data updated October 2026.

How much does Breast Cancer Gene Activity Recurrence Score cost?

$4,467

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $2,692 to $4,786.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $4,467 · 10th to 90th $2,138 to $6,026
$2K$5K$10Kfacility $3,890professional $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,691.53
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$4,365.16
Typical High
$5,754.40
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$8,511.38

Where Vermont 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.

Vermont· 9th of 51

$4,467

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.