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Whole Exome Genetic Sequencing

Georgia 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?

$3,631

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $5,495 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 7 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$3,162$1,905 to $4,169
FacilityA hospital or hospital-owned outpatient department$5,495$3,981 to $6,457

How much rates vary

Facilitymedian $5,495 · 10th to 90th $3,162 to $8,710Professionalmedian $3,162 · 10th to 90th $1,905 to $4,898
$100.0$1.0K$10.0K$100.0Kfacility $5,495professional $3,162

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
$3,162.28
Median
$4,365.16
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,495.41
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,786.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,332.54
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,786.30
Typical High
$12,589.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,165.95
Typical High
$37,153.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,265.80
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$5,754.40

Where Georgia sits

The same service costs 7.2 times more in North Dakota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $3,631 · 40th of 51
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.