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Georgia 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 $15,488 · 10th–90th $7,762–$40,7380%20%10th90th$15,488Professionalmedian $8,913 · 10th–90th $1,905–$13,8040%20%10th90th$8,913$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
$7,943.28 / $21,877.62 / $40,738.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,549.93 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $13,803.84 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $12,022.64
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $23,442.29 / $36,307.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $12,022.64 / $35,481.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $93,325.43
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $14,791.08 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,715.19 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $15,488.17