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Whole Exome Genetic Sequencing

New Mexico 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?

$3,890

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $15,136 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$3,548$3,020 to $5,754
FacilityA hospital or hospital-owned outpatient department$15,136$6,166 to $27,542

How much rates vary

Facilitymedian $15,136 · 10th to 90th $4,266 to $39,811Professionalmedian $3,548 · 10th to 90th $1,995 to $31,623
$2K$5K$10K$20K$50Kfacility $15,136professional $3,548

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
$7,244.36
Median
$14,454.40
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$31,622.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$25,703.96
Typical High
$42,657.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,890.45
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$5,370.32
Typical High
$6,918.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$8,709.64
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,370.32
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,265.80
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,548.13

Where New Mexico 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 Mexico· 27th of 51

$3,890

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.