CPT 81217 Pathology/Laboratory
Gene analysis (breast cancer 2) for known familial variant Cost
Body System: General
Medicare Facility Rate
$375
CMS PFS CY2026
Medicare Non-Facility Rate
$375
Office/clinic setting
Frequently Asked Questions
How much does Gene analysis (breast cancer 2) for known familial variant cost?
The Medicare facility rate is $375. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gene analysis (breast cancer 2) for known familial variant cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $375.