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Whole Genome And Mitochondrial DNA Sequencing

West Virginia rates for HCPCS 0265U

Searches for a genetic cause of an inherited condition by reading a person's entire genome together with their mitochondrial DNA, the small separate set of genes inside the cell's energy compartments. Blood is the usual sample, though several other specimen types can be used.

Rates data updated July 2026.

How much does Whole Genome And Mitochondrial DNA Sequencing cost?

$4,467

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,918 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 4 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$4,365$4,074 to $4,677
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $8,128

How much rates vary

Facilitymedian $6,918 · 10th to 90th $4,467 to $8,128Professionalmedian $4,365 · 10th to 90th $3,311 to $4,677
$5K$10K$20Kfacility $6,918professional $4,365

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
$4,466.84
Median
$6,918.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$4,677.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,943.28
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$6,025.60

Where West Virginia sits

The same service costs 3.7 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.

West Virginia· 31st of 51

$4,467

AK $12,303KY $3,311

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.