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Optical Genome Mapping With Genome Sequencing

Pennsylvania 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?

$5,754

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $12,882 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 8 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$5,495$4,074 to $5,754
FacilityA hospital or hospital-owned outpatient department$12,882$8,128 to $16,982

How much rates vary

Facilitymedian $12,882 · 10th to 90th $5,754 to $23,988Professionalmedian $5,495 · 10th to 90th $3,715 to $6,761
$5K$10K$20Kfacility $12,882professional $5,495

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
$5,754.40
Median
$12,882.50
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,495.41
Typical High
$6,309.57
Capital Blue Cross
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
$4,897.79
Median
$9,332.54
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$9,549.93
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$11,220.18
Typical High
$16,982.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,125.38
Typical High
$23,988.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,495.41
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$16,595.87
Typical High
$16,595.87
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,760.83
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$8,912.51

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$5,754

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.