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North Carolina 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 $295 · 10th–90th $110–$4570%10%10th90th$295Professionalmedian $117 · 10th–90th $69–$4570%20%10th90th$117$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
$117.49 / $295.12 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $186.21 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $302.00 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $181.97
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $213.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $177.83
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,023.29