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Utah rates for HCPCS 81415

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

Facilitymedian $5,495 · 10th–90th $501–$9,5500%20%10th90th$5,495Professionalmedian $3,631 · 10th–90th $1,000–$5,0120%20%10th90th$3,631$1.0K$2.0K$5.0K$10.0K$20.0K

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
$501.19 / $1,000.00 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,548.13 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $5,495.41 / $8,709.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $19,498.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,073.80 / $4,786.30
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,677.35 / $4,786.30
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,168.69 / $7,079.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $4,786.30