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Idaho 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 $18,197 · 10th–90th $12,023–$33,1130%20%10th90th$18,197Professionalmedian $11,220 · 10th–90th $1,000–$19,9530%20%10th90th$11,220$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$21,877.62 / $21,877.62 / $30,902.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $11,220.18 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $19,952.62 / $43,651.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $12,302.69 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $25,118.86 / $46,773.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $11,481.54 / $19,952.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $18,197.01
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,302.69 / $15,488.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $10,471.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $23,442.29 / $43,651.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $12,589.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $12,022.64