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Whole Exome Genetic Sequencing

Ohio 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?

$3,802

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $5,129 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 8 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$3,631$2,089 to $4,074
FacilityA hospital or hospital-owned outpatient department$5,129$3,802 to $8,913

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,995 to $10,965Professionalmedian $3,631 · 10th to 90th $1,905 to $6,457
$10.0$100.0$1.0K$10.0Kfacility $5,129professional $3,631

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
$851.14
Median
$5,495.41
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,011.87
Typical High
$8,709.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$5,248.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$5,495.41
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,165.95
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$9,549.93
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,309.57
Typical High
$19,498.45
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$9,549.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$5,754.40
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,786.30
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$6,309.57

Where Ohio 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.

Ohio $3,802 · 36th 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.