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Chromosomal Microarray Analysis

Montana rates for HCPCS 81228

A genetic test that scans all of a person's chromosomes for missing or extra pieces of genetic material that are too small to see under a microscope. It is commonly ordered for a child with developmental delay, intellectual disability, autism, or differences present from birth, to look for an underlying genetic explanation. A blood sample is usually all that is needed.

Rates data updated July 2026.

Facilitymedian $1,349 · 10th–90th $891$2,7540%20%10th90th$1,349Professionalmedian $1,023 · 10th–90th $309$5,8880%10%10th90th$1,023$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$1,023.29
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,754.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$891.25