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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 October 2026.

How much does Whole Exome Genetic Sequencing cost?

$2,884

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $6,310 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,344$1,905 to $3,802
FacilityA hospital or hospital-owned outpatient department$6,310$5,012 to $8,913

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,890 to $12,882Professionalmedian $2,344 · 10th to 90th $1,905 to $6,607
$1K$2K$5K$10K$20Kfacility $6,310professional $2,344

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
$5,011.87
Median
$10,471.29
Typical High
$13,182.57
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$4,466.84
Typical High
$6,025.60
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$912.01
Median
$1,778.28
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$758.58
Median
$758.58
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$5,495.41
Typical High
$8,709.64
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$5,248.07
CareSource
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$5,495.41
CareSource
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$6,606.93
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$5,754.40
Typical High
$19,498.45
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$5,754.40
SummaCare
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$4,466.84
Typical High
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$4,265.80
Typical High
$7,244.36
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$6,760.83

Where Ohio 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.

Ohio· 48th of 51

$2,884

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.