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California 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 $13,183 · 10th–90th $1,202–$57,5440%10%10th90th$13,183Professionalmedian $9,333 · 10th–90th $1,000–$36,3080%10%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
$1,000.00 / $3,715.35 / $28,840.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,549.93 / $79,432.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $11,220.18 / $52,480.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,786.30 / $17,378.01
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $27,542.29 / $35,481.34
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,120.11 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $21,379.62 / $39,810.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $7,943.28 / $23,442.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,182.57 / $16,218.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,589.25 / $20,892.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60,255.96 / $89,125.09 / $89,125.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $12,302.69 / $29,512.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,882.50 / $23,988.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,606.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $21,877.62