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Whole Exome Genetic Sequencing

Rhode Island 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?

$3,548

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $5,495 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,020$1,995 to $3,802
FacilityA hospital or hospital-owned outpatient department$5,495$4,786 to $5,888

How much rates vary

Facilitymedian $5,495 · 10th to 90th $4,266 to $7,079Professionalmedian $3,020 · 10th to 90th $1,000 to $6,457
$1K$2K$5K$10Kfacility $5,495professional $3,020

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,495.41
Typical High
$6,165.95
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$6,918.31
United
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$7,943.28

Where Rhode Island 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.

Rhode Island· 33rd of 51

$3,548

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.