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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 October 2026.

How much does Whole Exome Genetic Sequencing cost?

$3,311

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $11,749 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$1,905 to $3,311
FacilityA hospital or hospital-owned outpatient department$11,749$5,495 to $18,621

How much rates vary

Facilitymedian $11,749 · 10th to 90th $1,000 to $23,988Professionalmedian $3,090 · 10th to 90th $1,000 to $4,074
$1K$2K$5K$10K$20Kfacility $11,749professional $3,090

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$501.19
Median
$501.19
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$199.53
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$10,471.29
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$7,079.46
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$6,309.57
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$15,488.17
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,786.30

Where New Jersey sits

The same service costs 10.7 times more in Alaska than in Kentucky. 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 Jersey· 38th of 51

$3,311

AK $10,715KY $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.