go back

Whole Genome Test For Rare Disease In A Fetus

Pennsylvania rates for HCPCS 0335U

Searches for a genetic explanation of a suspected rare inherited disease before birth. Essentially all of the fetus's DNA is sequenced, and any differences found are classified according to how likely they are to be the cause. It is the fetal version of the same whole genome analysis offered for children and adults.

Rates data updated July 2026.

How much does Whole Genome Test For Rare Disease In A Fetus cost?

$4,467

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $10,000 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 7 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$4,266$3,162 to $4,467
FacilityA hospital or hospital-owned outpatient department$10,000$6,761 to $13,183

How much rates vary

Facilitymedian $10,000 · 10th to 90th $4,467 to $18,621Professionalmedian $4,266 · 10th to 90th $2,818 to $5,248
$2K$5K$10K$20Kfacility $10,000professional $4,266

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
$10,000.00
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,897.79
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$25,118.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$7,413.10
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,025.60
Typical High
$9,772.37
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$18,620.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$6,918.31

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$4,467

AK $11,749KY $3,162

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.