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Exome Sequencing For Rare Inherited Disease

Illinois rates for HCPCS 0214U

Searches for the genetic cause of a suspected rare inherited disorder in the affected patient. The protein-making portions of all the person's genes are sequenced, together with mitochondrial DNA, and anything found is classified by how likely it is to be causing disease. Blood or saliva can be used.

Rates data updated June 2026.

Facilitymedian $8,710 · 10th–90th $5,370$15,8490%10%20%10th90th$8,710Professionalmedian $4,266 · 10th–90th $2,884$6,7610%20%40%10th90th$4,266$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$9,120.11
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,466.84
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,079.46
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,481.54
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,309.57
Typical High
$7,585.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$7,079.46
Typical High
$9,772.37
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$5,248.07