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Optical Genome Mapping With Genome Sequencing

New Jersey rates for HCPCS 0267U

Searches for the genetic cause of an inherited condition using two approaches together: optical mapping, which images very long DNA molecules to spot large rearrangements, and genome-wide sequencing, which reads the DNA letter by letter.

Rates data updated July 2026.

How much does Optical Genome Mapping With Genome Sequencing cost?

$5,623

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $9,333 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 5 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$5,012$4,074 to $5,623
FacilityA hospital or hospital-owned outpatient department$9,333$8,710 to $21,380

How much rates vary

Facilitymedian $9,333 · 10th to 90th $6,761 to $40,738Professionalmedian $5,012 · 10th to 90th $3,548 to $5,754
$200$1K$5K$20Kfacility $9,333professional $5,012

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
$8,709.64
Median
$8,912.51
Typical High
$41,686.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,370.32
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,791.08
Typical High
$15,848.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$14,791.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,760.83
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,918.31

Where New Jersey sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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 Jersey· 30th of 51

$5,623

AK $15,136WY $4,074

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.