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Whole Exome Genetic Sequencing

Vermont 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?

$4,786

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,188 to $5,888.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $4,786 · 10th to 90th $4,786 to $7,943Professionalmedian $4,786 · 10th to 90th $1,000 to $7,413
$1K$2K$5K$10K$20Kfacility $4,786professional $4,786

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 Vermont
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,888.44
Typical High
$10,715.19
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$4,786.30
Typical High
$10,471.29

Where Vermont 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.

Vermont· 20th of 51

$4,786

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.