go back

Whole Exome Genetic Sequencing

Montana 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?

$6,457

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $6,026 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 6 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$6,026$4,786 to $7,586
FacilityA hospital or hospital-owned outpatient department$7,244$6,026 to $9,333

How much rates vary

Facilitymedian $7,244 · 10th to 90th $6,026 to $27,542Professionalmedian $6,026 · 10th to 90th $2,884 to $31,623
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $7,244professional $6,026

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
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$31,622.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,128.31
Typical High
$27,542.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,918.31
Typical High
$6,918.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$14,454.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$14,454.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$9,332.54
Typical High
$27,542.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$7,585.78
United
Setting
Facility
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 Montana 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.

Montana $6,457 · 2nd 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.