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Whole Exome Genetic Sequencing

Idaho 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?

$4,898

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $7,244 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 8 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$4,898$4,467 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,244$4,786 to $10,000

How much rates vary

Facilitymedian $7,244 · 10th to 90th $4,786 to $13,490Professionalmedian $4,898 · 10th to 90th $3,311 to $9,333
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,244professional $4,898

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
$8,709.64
Median
$12,302.69
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$7,244.36
Typical High
$16,982.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$10,000.00
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,570.88
Typical High
$7,943.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$7,244.36
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,897.79
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,011.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,165.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,786.30

Where Idaho 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.

Idaho $4,898 · 8th 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.