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Wisconsin 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 $355 · 10th–90th $138–$6460%20%10th90th$355Professionalmedian $132 · 10th–90th $55–$4270%10%10th90th$132$5.0$20.0$100.0$500.0

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
$162.18 / $309.03 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $120.23 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $549.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $204.17
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $426.58
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $575.44 / $870.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $165.96 / $389.05
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $389.05
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $467.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $691.83 / $691.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $741.31 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $109.65 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $208.93