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Whole Exome Genetic Sequencing

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $7,244 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 5 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$3,548$3,548 to $4,266
FacilityA hospital or hospital-owned outpatient department$7,244$4,074 to $16,982

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,162 to $20,417Professionalmedian $3,548 · 10th to 90th $2,884 to $5,495
$1K$2K$5K$10K$20Kfacility $7,244professional $3,548

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
$3,548.13
Median
$7,244.36
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,772.37
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$6,606.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$35,481.34
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,265.80
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,786.30

Where Tennessee sits

The same service costs 7.2 times more in North Dakota than in Vermont. 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.

Tennessee· 33rd of 51

$3,802

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.