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Whole Genome Structural Analysis By Optical Mapping

Wisconsin rates for HCPCS 0264U

Looks for large structural changes in a person's chromosomes as a possible cause of a rare inherited disorder. Instead of using a microarray, the laboratory stretches out very long pieces of DNA and images them across the whole genome, which reveals rearrangements and missing or extra segments.

Rates data updated June 2026.

Facilitymedian $3,467 · 10th–90th $1,148$6,1660%20%10th90th$3,467Professionalmedian $1,148 · 10th–90th $7$3,6310%10%10th90th$1,148$10.0$50.0$200.0$1.0K$5.0K

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
$1,513.56
Median
$3,467.37
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$3,162.28
Typical High
$3,981.07
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$5,248.07
Typical High
$7,943.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$1,258.93
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,513.56
Typical High
$3,630.78
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$4,168.69
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,025.60
Typical High
$6,025.60
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$5,011.87
Typical High
$6,309.57
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,000.00
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,905.46