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Whole Exome Genetic Sequencing

Utah 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?

$3,311

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $5,248 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,162$1,995 to $4,467
FacilityA hospital or hospital-owned outpatient department$5,248$1,000 to $5,754

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,000 to $17,378Professionalmedian $3,162 · 10th to 90th $1,000 to $5,495
$1K$2K$5K$10K$20Kfacility $5,248professional $3,162

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
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$501.19
Median
$2,691.53
Typical High
$3,548.13
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$1,071.52
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$501.19
Median
$501.19
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$199.53
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$5,248.07
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$5,495.41
Typical High
$8,709.64
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$5,495.41
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,073.80
Typical High
$4,897.79
Select Health
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Select Health
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$6,165.95
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,786.30
Typical High
$7,244.36
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$2,884.03

Where Utah 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.

Utah· 41st of 51

$3,311

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.