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Maryland 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 $1,950 · 10th–90th $1,230–$6,3100%20%40%10th90th$1,950Professionalmedian $9,550 · 10th–90th $1,000–$14,4540%20%10th90th$9,550$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
$1,949.84 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,772.37 / $14,454.40
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $9,549.93 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,162.28 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,943.28 / $21,379.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,803.84 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $5,011.87 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,370.32 / $10,471.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $6,025.60 / $12,022.64