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Washington, DC 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 $20,893 · 10th–90th $4,266–$74,1310%20%10th90th$20,893Professionalmedian $9,120 · 10th–90th $1,000–$16,5960%50%10th90th$9,120$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
$4,265.80 / $20,892.96 / $74,131.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,120.11 / $14,791.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $9,549.93 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $20,417.38 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $13,803.84 / $54,954.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $20,892.96 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $14,454.40 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,370.32 / $11,220.18