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Full Cystic Fibrosis Gene Sequencing

Vermont rates for HCPCS 81223

This laboratory test reads through the entire sequence of the gene most commonly associated with cystic fibrosis, looking for any disease-causing change rather than just the most frequent ones. It is used when a more limited screening test does not explain a person's symptoms or family history, or when a comprehensive result is specifically needed. The test can be run on a blood or saliva sample.

Rates data updated July 2026.

How much does Full Cystic Fibrosis Gene Sequencing cost?

$1,096

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $2,239 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$1,096$1,000 to $1,096
FacilityA hospital or hospital-owned outpatient department$2,239$832 to $2,570

How much rates vary

Facilitymedian $2,239 · 10th to 90th $501 to $2,570Professionalmedian $1,096 · 10th to 90th $589 to $1,096
$500$1K$2Kfacility $2,239professional $1,096

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$1,122.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,096.48

Where Vermont sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Vermont· 2nd of 51

$1,096

AK $1,122DC $372

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.