go back

Whole Exome Genetic Sequencing

Washington, DC rates for HCPCS 81415

Reads the protein-coding portions of essentially all of a person's genes from a blood or saliva sample, searching for a change that explains a condition present from birth or running in the family that has no clear cause. It is used when the features do not point to one suspected gene, so a broad search is more likely to find an answer than testing genes one at a time. A result may identify a cause, be inconclusive, or turn up a change whose meaning is not yet known.

Rates data updated July 2026.

How much does Whole Exome Genetic Sequencing cost?

$3,548

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $4,266 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 5 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$3,548$3,548 to $3,548
FacilityA hospital or hospital-owned outpatient department$4,266$3,548 to $6,310

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,089 to $6,310Professionalmedian $3,548 · 10th to 90th $3,467 to $3,715
$2K$5K$10Kfacility $4,266professional $3,548

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
$2,089.30
Median
$3,548.13
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$8,128.31
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$6,165.95
Typical High
$21,877.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$8,317.64
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$4,786.30

Where Washington, DC sits

The same service costs 7.2 times more in North Dakota than in Vermont. 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.

Washington, DC· 42nd of 51

$3,548

ND $7,244VT $1,000

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.