go back

Rapid Whole Genome Sequencing

New York rates for HCPCS 0094U

Reads a person's entire genome to find the cause of a suspected inherited disorder, and is performed on a rapid turnaround so the answer comes back quickly. It is used for diagnosis when time matters.

Rates data updated July 2026.

How much does Rapid Whole Genome Sequencing cost?

$4,571

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $13,490 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 9 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$2,692$851 to $4,571
FacilityA hospital or hospital-owned outpatient department$13,490$8,710 to $18,197

How much rates vary

Facilitymedian $13,490 · 10th to 90th $5,248 to $20,893Professionalmedian $2,692 · 10th to 90th $851 to $9,333
$1K$2K$5K$10K$20Kfacility $13,490professional $2,692

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
$5,248.07
Median
$13,803.84
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$7,943.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$16,218.10
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$36,307.81
Typical High
$36,307.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,589.25
Typical High
$28,840.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,000.00
Typical High
$14,454.40
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$13,489.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$7,585.78
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,570.88
Typical High
$10,471.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,585.78
Typical High
$8,709.64
Univera
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,585.78
Typical High
$18,197.01

Where New York sits

The same service costs 20.0 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.

New York· 39th of 51

$4,571

AK $16,982KY $851

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.