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Genome-Wide Chromosome Check For Inborn Changes

Iowa rates for HCPCS 81349

A laboratory scan across all of a person's chromosomes, run on a sample such as blood, looking for stretches of genetic material that are missing or present in extra copies. The changes it hunts for are ones carried in the person's own cells from the beginning of their development, not ones a tumor has picked up along the way. It is used when someone has developmental delay, learning difficulties, features present from birth or similar findings with no explanation.

Rates data updated July 2026.

How much does Genome-Wide Chromosome Check For Inborn Changes cost?

$1,148

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,778 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$1,000$891 to $2,138
FacilityA hospital or hospital-owned outpatient department$1,778$1,202 to $3,090

How much rates vary

Facilitymedian $1,778 · 10th to 90th $891 to $3,388Professionalmedian $1,000 · 10th to 90th $692 to $7,586
$10.0$100.0$1.0Kfacility $1,778professional $1,000

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
$891.25
Median
$2,398.83
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,884.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,949.84
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,288.25
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$2,951.21
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26

Where Iowa sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $1,148 · 20th of 51
AK $2,630DE $794

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.