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Connecticut 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 $18,621 · 10th–90th $12,023–$33,1130%20%10th90th$18,621Professionalmedian $7,943 · 10th–90th $1,000–$14,7910%20%10th90th$7,943$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
$12,022.64 / $17,378.01 / $36,307.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $8,709.64 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $18,620.87 / $32,359.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,370.32 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $16,218.10 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $15,135.61 / $24,547.09
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $12,022.64 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,912.51 / $19,054.61