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Whole Exome Genetic Sequencing

New Hampshire 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?

$4,786

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $9,120 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$4,786$3,090 to $4,786
FacilityA hospital or hospital-owned outpatient department$9,120$6,761 to $18,621

How much rates vary

Facilitymedian $9,120 · 10th to 90th $3,388 to $26,915Professionalmedian $4,786 · 10th to 90th $1,000 to $8,913
$1K$2K$5K$10K$20Kfacility $9,120professional $4,786

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
$1,000.00
Median
$3,801.89
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$9,332.54
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,090.30
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$17,378.01
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$19,952.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,786.30
Typical High
$10,471.29

Where New Hampshire 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.

New Hampshire· 15th of 51

$4,786

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.