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Michigan rates for HCPCS 81401

Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat)

Facilitymedian $162 · 10th–90th $129–$5620%20%10th90th$162Professionalmedian $112 · 10th–90th $45–$2510%10%10th90th$112$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $114.82 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $141.25 / $331.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $177.83 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $158.49 / $309.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $138.04 / $239.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $114.82 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $138.04 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $138.04