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New York rates for HCPCS 81415

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis

Facilitymedian $8,511 · 10th–90th $4,786–$14,4540%10%10th90th$8,511Professionalmedian $3,311 · 10th–90th $1,000–$7,5860%10%10th90th$3,311$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,120.11 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,890.45 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $6,918.31
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,786.30 / $4,786.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $10,232.93 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,888.44 / $22,908.68
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,943.28 / $18,197.01
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $9,120.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $8,511.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,912.51 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,786.30 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,311.31 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $5,011.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,570.88 / $11,481.54