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Arizona rates for HCPCS 81416

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Facilitymedian $33,113 · 10th–90th $8,128–$57,5440%10%20%10th90th$33,113Professionalmedian $9,333 · 10th–90th $1,000–$18,1970%20%10th90th$9,333$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$10,964.78 / $41,686.94 / $58,884.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,332.54 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $33,884.42 / $61,659.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $11,748.98 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $11,748.98 / $38,904.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $6,309.57 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $10,232.93 / $57,543.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $10,471.29