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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 October 2026.

How much does Whole Exome Genetic Sequencing cost?

$4,266

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $15,849 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,951$1,995 to $5,248
FacilityA hospital or hospital-owned outpatient department$15,849$5,248 to $27,542

How much rates vary

Facilitymedian $15,849 · 10th to 90th $3,548 to $38,019Professionalmedian $2,951 · 10th to 90th $1,995 to $6,310
$1K$2K$5K$10K$20Kfacility $15,849professional $2,951

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
$3,548.13
Median
$15,488.17
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$5,754.40
Typical High
$5,754.40
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$24,547.09
Typical High
$39,810.72
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$5,495.41
Typical High
$10,964.78
Molina
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Providence
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,090.30
Typical High
$5,754.40
Providence
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$6,309.57
Typical High
$6,918.31
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
$1,995.26
Typical High
$2,884.03

Where New Mexico 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 Mexico· 23rd of 51

$4,266

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.