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Genome-Wide Chromosome Check For Inborn Changes

Montana 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 October 2026.

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

$1,738

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $2,042 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,622$490 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,042$1,778 to $2,089

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,514 to $2,344Professionalmedian $1,622 · 10th to 90th $79 to $2,138
$100$200$500$1K$2Kfacility $2,042professional $1,622

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,187.76
Providence
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$1,148.15

Where Montana sits

The same service costs 5.4 times more in Alaska than in Alabama. 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.

Montana· 3rd of 51

$1,738

AK $2,630AL $490

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.