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Whole Exome Genetic Sequencing

New Jersey 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?

$3,715

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $9,772 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$3,162$1,000 to $3,890
FacilityA hospital or hospital-owned outpatient department$9,772$6,166 to $19,498

How much rates vary

Facilitymedian $9,772 · 10th to 90th $2,239 to $29,512Professionalmedian $3,162 · 10th to 90th $1,000 to $4,786
$100.0$1.0K$10.0K$100.0Kfacility $9,772professional $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
$1,288.25
Median
$7,943.28
Typical High
$34,673.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$3,235.94
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$10,471.29
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,128.61
Typical High
$7,079.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$6,918.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$11,481.54
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,786.30

Where New Jersey 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.

New Jersey $3,715 · 38th 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.